Accidental Death Due to Erroneous Intravenous Infusion of Hypertonic Saline Solution for Hemodialysis-Reference-Cited by-同舟云学术

Accidental Death Due to Erroneous Intravenous Infusion of Hypertonic Saline Solution for Hemodialysis

Published:2004-09 Issue:9 Volume:27 Page:810-812
ISSN:0391-3988
Container-title:The International Journal of Artificial Organs
language:en
Short-container-title:Int J Artif Organs

Author:

Di Paolo M.¹,Bruno M.¹,Sansoni E.²,Gaggiotti E.²,Di Paolo N.²

Affiliation:

1. Institute of Legal Medicine, Pisa University, Pisa - Italy

2. Nephrology and Dialysis Unit, Siena University Hospital, Siena - Italy

Abstract

The case of a continuous hemodialysis patient who died shortly after erroneous infusion with undiluted hypertonic solution is reported. Autopsy showed small parenchymal hemorrhages in all organs. Although producers take measures to prevent such errors by hospital staff, further steps are suggested for types of dialysis requiring reinfusion of large quantities of reinfusion hemodialysis solution.

Publisher

SAGE Publications

Subject

Biomedical Engineering,Biomaterials,General Medicine,Medicine (miscellaneous),Bioengineering

Link

http://journals.sagepub.com/doi/pdf/10.1177/039139880402700912

Reference21 articles.

1. Ethnographic study of incidence and severity of intravenous drug errors

2. Survival After Severe latrogenic Hypernatremia

3. Exogenous Hypernatremia

4. Hipernatremia grave por administración accidental de sal común

5. Survival after severe hypernatremia due to salt ingestion by an adult

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