REPORT
070
DATE
Jan 2021
TITLE
Accidental cardioplegia administration
DETAILS OF INCIDENT

Whilst flushing the cardioplegia circuit on a paediatric case a team member bringing in a piece of hardware ( not requested at a team brief) struggled sufficiently so as to distract the perfusionist running the bypass long enough to flush almost a whole bag of cardioplegia into the bypass circuit.

This case has been published in Anaesthesia Reports and is available to read at:

https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10.1002/anr3.12111

DETAILS OF INJURY TO PATIENT

n/a

TYPE OF DEVICE/MANUFACTURER

n/a

ACTION TAKEN

As described in published paper

RESPONSE FROM MANUFACTURER

n/a

ADDTIONAL INFORMATION
SUPPORTING VISUALS/VIDEO
SUPPORTING DOCUMENT

OTHER PERFUSION REPORTS

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