A death resulting from inadvertent intravenous infusion of enteral feed

被引:9
作者
Takeshita, H
Yasuda, T
Nakajima, T
Mori, S
Mogi, K
Ohkawara, H
Nara, M
Kishi, K [1 ]
机构
[1] Gunma Univ, Sch Med, Dept Legal Med, Maebashi, Gumma 3718511, Japan
[2] Gunma Prefectural Police Headquarters, Criminal Invest Lab, Maebashi, Gumma 3710844, Japan
关键词
dextrin; enteral feed; gas chromatography; gel filtration; medical malpractice;
D O I
10.1007/s004140000186
中图分类号
DF [法律]; D9 [法律]; R [医药、卫生];
学科分类号
0301 ; 10 ;
摘要
A female patient suffering from the after-effects of an intracerebral hemorrhage, inadvertently received approximately 50 ml of enteral feed containing high molecular weight dextrin intravenously and died 6 h later despite intensive emergency resuscitation attempts. The total quantity of enteral feed received was calculated from the amounts of dextrin measured in the blood. This is the first report describing how the total quantity of enteral feed administered intravenously was determined using biochemical analysis.
引用
收藏
页码:36 / 38
页数:3
相关论文
共 12 条
[1]   INTRAVENOUS-INFUSION OF A DEXTRIN, CALOREEN, IN HUMAN SUBJECTS - METABOLIC STUDIES [J].
BIBBY, RJ ;
DAVIES, D ;
MALLICK, NP ;
ATHERTON, ST ;
WRIGHT, DM ;
RICKETTS, CR ;
MILNER, J .
BRITISH JOURNAL OF NUTRITION, 1977, 38 (03) :341-352
[2]   SEPTICEMIA FROM INADVERTENT INTRAVENOUS ADMINISTRATION OF ENTERAL FEEDS [J].
CASEWELL, MW ;
PHILPOTTHOWARD, J .
JOURNAL OF HOSPITAL INFECTION, 1983, 4 (04) :403-405
[3]  
DONOVAN JE, 1979, J PARENTER ENTERAL N, V3, P471
[4]   COLORIMETRIC METHOD FOR DETERMINATION OF SUGARS AND RELATED SUBSTANCES [J].
DUBOIS, M ;
GILLES, KA ;
HAMILTON, JK ;
REBERS, PA ;
SMITH, F .
ANALYTICAL CHEMISTRY, 1956, 28 (03) :350-356
[5]  
Kennelly C, 1998, Am J Crit Care, V7, P80
[6]   INADVERTENT INTRAVENOUS ADMINISTRATION OF AN ELEMENTAL ENTERAL NUTRITION FORMULA [J].
MALONE, M ;
AFTAHI, S ;
HOWARD, L .
ANNALS OF PHARMACOTHERAPY, 1993, 27 (10) :1187-1189
[7]  
Ong BC, 1997, J CLIN APHERESIS, V12, P200, DOI 10.1002/(SICI)1098-1101(1997)12:4<200::AID-JCA9>3.0.CO
[8]  
2-E
[9]  
STAPLETON GN, 1988, S AFR MED J, V73, P542
[10]   INADVERTENT INTRAVENOUS ADMINISTRATION OF ENTERAL DIET [J].
STELLATO, TA ;
DANZIGER, LH ;
NEARMAN, HS ;
CREGER, RJ .
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION, 1984, 8 (04) :453-455