Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
6213779 | International Journal of Pediatric Otorhinolaryngology | 2014 | 5 Pages |
Abstract
Medication errors can be reduced by following standards in patient identification and medication labeling. We present an investigation of a life-threatening event from medication error: A newborn that received intranasal phenol instead of topical anesthetic prior to flexible laryngoscopy. The patient required urgent intubation for respiratory distress and suffered chemical burns of the face, neck, and upper aerodigestive tract. The hospital course was prolonged and included intensive care, delayed oral feeding with enteral support, and the need for several endoscopies. Current standards of medication labeling are reviewed as well as evidence for and against using topical agents for flexible laryngoscopy.
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Authors
Valerie Cote, Jeremy D. Prager,