• Arch Pediatr · Dec 2008

    Case Reports

    [Air embolism on central venous access in a premature neonate, beware of the infusion device assembly! ].

    • G Thiriez, M-H Choulet, S Felix, N Afroukh, F Nobili, A Chamouine, and A Menget.
    • Service de pédiatrie 2, CHU Saint-Jacques, 2, place Saint-Jacques, 25030 Besançon, France. gerard.thiriez@univ-fcomte.fr
    • Arch Pediatr. 2008 Dec 1; 15 (12): 1772-4.

    AbstractA fatal pulmonary air embolism, confirmed by an oriented necropsy, is described in a 25-day-old premature and small-for-gestational-age neonate. The embolism was suspected after air bubbles were detected in the infusion line. The air bubbles originated from a male Luer-lock to male Luer-lock connector, which was part of a specific assembly of the perfusion line. A solution to this problem is thereby proposed. We recommend caution in using complex infusion line assemblies because such complications are probably underestimated.

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