Confusion between Hickman catheter and percutaneous endoscopic gastric tube

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“A man was found dead in his nursing bed. The responsible assistant nurse explained that she had administered liquid nutrition (Isosource Energy Fibre 500ml) via perfusion pump into the Hickman catheter…” Hartung et al (2014).

Reference:

Hartung, B., Gahr, B. and Ritz-Timme, S. (2014) Pulmonary and coronary foreign particle embolism after central venous injection of liquid nutrition. Forensic Science International. December 27th. [epub ahead of print].

Abstract:

A man was found dead in his nursing bed. The responsible assistant nurse explained that she had administered liquid nutrition (Isosource Energy Fibre 500ml) via perfusion pump into the Hickman catheter, insisting that the Hickman catheter was a percutaneous endoscopic gastric tube. Autopsy findings were unspecific and could not reveal the cause of death. Histopathological examinations showed severe pulmonary foreign particle emboli, partially even emboli of the small coronary arteries. We present the pathological findings of the case in regard to the underlying pathophysiology.

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