Cureus. 2024 Nov 10;16(11):e73371. doi: 10.7759/cureus.73371. eCollection 2024 Nov.
ABSTRACT
In the following article, we present a case report detailing a medical error wherein a post-term baby boy, admitted to our neonatal intensive care unit due to respiratory distress and hypoglycemia, inadvertently received enteral formula via umbilical venous catheter over approximately one hour. Our report encompasses the hospital course, management strategies, and the resultant outcome. Immediately following the incident, the infant exhibited symptoms of respiratory distress, mottled skin, hypotension, and thrombocytopenia. Prompt intervention entailed administering supportive care, closely monitoring vital signs, particularly blood pressure, with the administration of vasopressors, and initiating broad-spectrum antibiotic therapy. Fortunately, the infant responded well to treatment and exhibited no discernible long-term adverse effects. Subsequent to the incident, thorough investigations were conducted to ascertain its root cause. Furthermore, measures were implemented to enhance medical staff education regarding such occurrences and to develop preventive protocols.
PMID:39659317 | PMC:PMC11629709 | DOI:10.7759/cureus.73371
