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Hypovolemic shock and intestinal ischemia: a preventable complication of incomplete formula labeling
D T Wilcox1, A B Fiorello, P L Glick
1Department of Surgery, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York.
The Journal of Pediatrics
|January 1, 1993
Insights
Inadequate infant formula preparation instructions led to a neonate developing transverse colon gangrene. Clearer labeling on formula packaging could prevent such severe gastrointestinal complications in infants.
Area of Science:
- Neonatal Medicine
- Gastroenterology
- Pediatric Surgery
Background:
- Infant formula preparation requires precise dilution to achieve appropriate osmolality.
- Hyperosmolar formulas can lead to severe gastrointestinal distress and injury in neonates.
- Accurate "directions for use" are critical for safe infant formula preparation.
Abstract:
A 19-day-old male infant was seen with full-thickness gangrene of the transverse colon. Hyperosmolar formula feedings caused by inadequate "directions for use" was the probable cause. Improved formula labeling might prevent further cases.