Fatal infant nasal seawater spray instillation.
The use of seawater nasal spray is considered safe and sold as a non-prescription medicine. However, it is well known that nasal manipulations can provoke vagal reaction leading to acute life-threatening events. A case of fatal seawater nasal spray application in an infant is presented.


CONCLUSIONS
We do not consider the use of seawater nasal spray to be absolutely safe, especially among infants with disordered autonomic function.
Novak
Milivoj
M
Paediatric Intensive Care Unit, Department of Paediatrics, Clinical Hospital Centre, Zagreb University School of Medicine, Zagreb, Croatia. mnovak@kbc-zagreb.hr
Cvitkovic
Miran
M
Galic
Slobodan
S
Saric
Dalibor
D
Cadez
Josip
J
Dorcic
Dorotea
D
D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007223:Infant; D007322:Instillation, Drug; D015508:Nasal Obstruction / Q000628:therapy*; D009330:Nebulizers and Vaporizers; D012623:Seawater / Q000009:adverse effects*