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[A case of coring on using a 1% Diprivan vial]
Y Adachi1, J Takigami, K Watanabe
1Department of Anesthesiology, National Defense Medical College, Tokorozawa 359-8513.
Masui. the Japanese Journal of Anesthesiology
|July 17, 2001
Summary
Anesthesiologists should be aware of coring risks. Small rubber cap fragments from Diprivan vials can enter syringes, posing a danger during patient infusion.
Area of Science:
- Anesthesiology
- Materials Science
Context:
- A case report detailing a potential patient safety issue during medication preparation.
- Focuses on the use of Diprivan (propofol) emulsion for anesthesia.
Purpose:
- To highlight the risk of rubber cap coring from Diprivan vials.
- To inform healthcare professionals about a specific medication preparation hazard.
Summary:
- Two rubber cap fragments were detected in a syringe immediately before infusion.
- Infrared spectroscopy confirmed the fragments originated from the Diprivan vial's rubber cap.
- The fragments were difficult to detect in the white, unclear propofol emulsion.
Impact:
- Emphasizes the need for vigilance among anesthesiologists during drug preparation.
- Suggests potential for undetected foreign bodies in injectable medications.
- Underscores the importance of thorough pre-infusion checks to prevent patient harm.