Overdosage during patient controlled analgesia

BMJ 1994; 309 doi: https://doi.org/10.1136/bmj.309.6968.1583 (Published 10 December 1994) Cite this as: BMJ 1994;309:1583

Mount syringes vertically …

  1. D H Elcock
  1. Senior house officer in anaesthesia Nottingham City Hospital, Nottingham NG5 1PB.

    EDITOR,—D A Southern and M S Read report on a patient who received an overdosage of opiate while using patient controlled analgesia.1 Such an overdosage is not, however, a specific consequence of this technique but can occur with any infusion syringe, so it is not only anaesthetists who need to be aware of this risk. Infusion of insulin, for example, could be equally dangerous and might similarly be given in relatively low dependency areas.

    Such events must be rare, but the fact …

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