Intensive care management after inadvertent intravascular injection of liquid paraffin.
Medication errors in the hospitals are not uncommon even in the developed countries. A 30 years old lady was admitted with 32 weeks pregnancy with gastroenteritis followed by intrauterine death. In the high dependency unit of obstetric department, accidentally 50 milliliters of liquid paraffin was administered intravenously. With 12 days of vigorous treatment comprising mechanical ventilation with positive end-expiratory pressure, an emergency hysterotomy to avoid the complications of intrauterine death; 3 cycles of plasmapheresis; and ultimately broncho-alveolar lavage, her condition improved and she was discharged from hospital.
Kazi
Waqas Ahmed
WA
Department of Anaesthesia, PNS Shifa, Karachi.
Siddiqi
Rashad
R
Jafri
Syed Asadullah
SA
D000328:Adult; D018893:Bronchoalveolar Lavage; D003422:Critical Care / Q000379:methods*; D004643:Emollients / Q000008:administration & dosage / Q000009:adverse effects*; D005260:Female; D005313:Fetal Death / Q000209:etiology; D005500:Follow-Up Studies; D005759:Gastroenteritis / Q000150:complications; D006801:Humans; D020883:Hysterotomy; D007049:Iatrogenic Disease; D007275:Injections, Intravenous / Q000009:adverse effects; D008899:Mineral Oil / Q000008:administration & dosage / Q000009:adverse effects*; D010956:Plasmapheresis; D011175:Positive-Pressure Respiration; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious
D004643:Emollients; D008899:Mineral Oil