Interaction between infusion equipment resulting in drug overdose in a critically ill patient

Anaesthesia. 2005 Jan;60(1):88-91. doi: 10.1111/j.1365-2044.2004.04012.x.

Abstract

A critically ill septic patient on haemofiltration for acute renal failure suffered sudden circulatory and respiratory collapse. The cause of the collapse was traced to an interaction between mechanical devices (syringe driver infusion pumps and haemofiltration equipment) connected to two central venous catheters.

Publication types

  • Case Reports

MeSH terms

  • Acute Kidney Injury / therapy
  • Adolescent
  • Analgesics, Opioid / adverse effects
  • Critical Illness / therapy*
  • Drug Overdose / etiology*
  • Equipment Failure
  • Female
  • Hemofiltration / instrumentation
  • Humans
  • Hypnotics and Sedatives / adverse effects
  • Infusion Pumps*
  • Piperidines / adverse effects
  • Propofol / adverse effects
  • Remifentanil

Substances

  • Analgesics, Opioid
  • Hypnotics and Sedatives
  • Piperidines
  • Remifentanil
  • Propofol