Anesthesia & Clinical Research
Open Access

Alexander Philip

Publications

• Case Report
  Concentrate on the Concentration! Double Checking Avoids Another Potential Disaster
  Author(s): Rajesh Pandey and Alexander PhilipRajesh Pandey and Alexander Philip
  
  The potential for inadvertent administration of wrong drug/wrong concentration of right drug as a result of drugs being packaged in ampoules of different concentration with very similar labeling has been in focus recently. We would like to share our experience in this regard. On a recent call to A&E the anaesthetic team was presented with a polytrauma case. A foundation year 2 trainee on placement in ITU accompanied the team. Being familiar with induction drugs and short acting opioids, the responsibility of drawing these up was given to the trainee. In addition to the induction drugs, the registrar was handed an unlabelled 5ml syringe containing 2ml of a clear fluid. On enquiry, the registrar was informed that the drug was alfentanil and it had been drawn from 2 ampoules. As the registrar was familiar with an alfentanil concentration of 500mcg.ml-1 (commonly used in a theatre set.. View More»
  DOI: 10.4172/2155-6148.1000148

  Abstract PDF

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