Hypoglycemia caused by siphoning of an insulin infusion

Journal of Clinical Anesthesia

Volumn 19, Issue 4, 2007, Pages 251-255

  Vanelderen, Pascal J ^a   Soetens, Filiep M ^a   Soetens, Maurits A ^a   Janssen, Herman J ^b   De Wolf, André M ^c  

^a Sint Elisabethziekenhuis Turnhout   (Belgium)

^b HASSELT UNIVERSITY   (Belgium)

^c NORTHWESTERN UNIVERSITY   (United States)

Author keywords

Equipment; Extension tubing; Overdose; Siphoning; Syringe pump

Indexed keywords

NEUTRAL INSULIN;

AGED; ARTICLE; CASE REPORT; CONTINUOUS INFUSION; FEMALE; FLOW MEASUREMENT; HEIGHT; HUMAN; HYDROSTATIC PRESSURE; HYPOGLYCEMIA; INSULIN INFUSION; PRESSURE TRANSDUCER; PRIORITY JOURNAL; PROSPECTIVE STUDY; SYRINGE; VISCOMETRY;

AGED; FEMALE; HUMANS; HYDROSTATIC PRESSURE; HYPOGLYCEMIA; INFUSION PUMPS; INSULIN; PROSPECTIVE STUDIES; SYRINGES;

EID: 34250156320     PISSN: 09528180     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jclinane.2006.12.006     Document Type: Article

References (13)

1. Morling S. Infusion devices: risks and user responsibilities. Br J Nurs 7 (1998) 13-20
2. Jackson C., and Fong M. Siphoning from a syringe pump: a cause of sudden overdose. Anaesth Intensive Care 11 (1983) 244-245
3. Krauskopf K.H., Rauscher J., and Brandt L. Disturbance of continuous pump administration of cardiovascular drugs by hydrostatic pressure. Anaesthesist 45 (1996) 449-452
4. Southern D.A., and Read M.S. Overdosage of opiate from patient controlled analgesia devices. BMJ 309 (1994) 1002
5. Kwan A. Overdose of morphine during PCA. Anaesthesia 50 (1995) 919
6. Van den Berghe G., Wouters P., Weekers F., et al. Intensive insulin therapy in the critically ill patients. N Engl J Med 345 (2001) 1359-1367
7. White F.M. Fluid mechanics. 4th ed. (1999), WCB/McGraw-Hill, Boston (MA)
8. Rooke G.A., and Bowdle T.A. Syringe pumps for infusion of vasoactive drugs: mechanical idiosyncrasies and recommended operating procedures. Anesth Analg 78 (1994) 150-156
9. Lönnqvist P.A., and Löfqvist B. Design flaw can convert commercially available continuous syringe pumps to intermittent bolus injectors. Intensive Care Med 23 (1997) 998-1001
10. Klem S.A., Farrington J.M., and Leff R.D. Influence of infusion pump operation and flow rate on hemodynamic stability during epinephrine infusion. Crit Care Med 21 (1993) 1213-1217
11. Weiss M., Bänziger O., Neff T., and Fanconi S. Influence of infusion line compliance on drug delivery rate during acute line loop formation. Intensive Care Med 26 (2000) 776-779
12. Lönnqvist P.A. How continuous are continuous drug infusions?. Intensive Care Med 26 (2000) 660-661
13. Kern H., Kuring A., Redlich U., et al. Downward movement of syringe pumps reduces syringe output. Br J Anaesth 86 (2001) 828-831