| Infusion pump delivers over-dosage of propofol as a result of missing syringe support. | |
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MedLine Citation:
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PMID: 16551915 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We describe the malfunction of a common drug infusion pump. The syringe saddle was missing and allowed the syringe barrel to contact the pump case, which decreased the outward displacement of the syringe clamp. Then, the infusion pump falsely detected a smaller syringe size and consequently delivered an increased infusion rate and overdose of propofol to the patient. More commonly, an incorrectly mounted syringe may increase the outward displacement of the syringe clamp so that the infusion pump falsely detects a larger syringe size, with resultant less than expected infusion rate. |
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Authors:
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Christian Koch; Christine Hollister; Peter H Breen |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Anesthesia and analgesia Volume: 102 ISSN: 1526-7598 ISO Abbreviation: Anesth. Analg. Publication Date: 2006 Apr |
Date Detail:
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Created Date: 2006-03-22 Completed Date: 2006-04-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 1310650 Medline TA: Anesth Analg Country: United States |
Other Details:
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Languages: eng Pagination: 1154-6 Citation Subset: AIM; IM |
Affiliation:
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Department of Anesthesiology, University of California-Irvine, Orange, California, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Drug Delivery Systems
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adverse effects*,
instrumentation* Equipment Failure Female Humans Infusion Pumps / adverse effects* Infusions, Intravenous Middle Aged Overdose Propofol / adverse effects* Syringes / adverse effects* |
| Chemical | |
Reg. No./Substance:
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2078-54-8/Propofol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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