PATIENT-CONTROLLED ANALGESIA - A SERIOUS INCIDENT

被引:26
作者
GROVER, ER
HEATH, ML
机构
[1] LEWISHAM HOSP,DEPT ANAESTHET,LONDON SE13 6LH,ENGLAND
[2] GUYS HOSP,DEPT ANAESTHET,LONDON SE1 9RT,ENGLAND
关键词
ANALGESIA; PATIENT-CONTROLLED; COMPLICATIONS; ACCIDENTS;
D O I
10.1111/j.1365-2044.1992.tb02221.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
A patient received a massive overdose of papaveretum intravenously (estimated to be 180 mg) when the glass syringe of a patient‐controlled analgesia machine disengaged from the drive mechanism. She was successfully resuscitated. The pump, on loan from the supplier, had passed a brief evaluation by the infusion pump test house designated by the Medical Devices Directorate of the Department of Health; it has since been withdrawn. It is recommended that patient‐controlled analgesia equipment should be placed at or below patient heart level. The Department of Health is called on to institute a full, independent evaluation scheme for patient‐controlled analgesia equipment. Copyright © 1992, Wiley Blackwell. All rights reserved
引用
收藏
页码:402 / 404
页数:3
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