The dangers of trying to make ends meet: accidental intravenous administration of enteral feed

Anaesth Intensive Care. 2003 Jun;31(3):324-7. doi: 10.1177/0310057X0303100315.

Abstract

We report a case of inadvertent intravenous administration of enteral feed, a very rare but potentially life-threatening complication of enteral feeding. Bacterial contamination of feed results in a severe septic response that requires broad-spectrum antibiotic cover and aggressive organ support. The failure of measures aimed at prevention of this complication must be investigated, and practice changed to ensure that further incidents are avoided.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Bacteria / isolation & purification
  • Enteral Nutrition*
  • Food Microbiology*
  • Humans
  • Infusions, Intravenous
  • Male
  • Medical Errors*