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A death resulting from inadvertent intravenous infusion of enteral feed

โœ Scribed by H. Takeshita; T. Yasuda; T. Nakajima; S. Mori; K. Mogi; H. Ohkawara; M. Nara; K. Kishi

Book ID
106091437
Publisher
Springer-Verlag
Year
2002
Tongue
German
Weight
44 KB
Volume
116
Category
Article
ISSN
0937-9827

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This 50-year-old man was on enteral full-strength Ensure through the jejunostomy tube. The enteral feed was accidentally infused through the peripheral intravenous line. He went into a septic state with hypotension, hypoxemia, and increased pulmonary shunting requiring ventilatory and inotropic supp