Fentanyl
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Pulmonary congestion and pulmonary oedema following drug intoxication: case report In a case series involving Australian incidents and US experience, including material from the institute for safe medication practices (ISMP) alert, a 15-month-old boy was described, who developed pulmonary congestion and pulmonary oedema secondary to fentanyl intoxication following unintentional ingestion of a fentanyl patch [dosage and time to reactions onsets not stated].* The boy was sleeping on his mother’s chest. His mother had been wearing a fentanyl patch for multiple sclerosis-related pain. Upon awakening, the mother noticed that her baby was unresponsive. Therefore, he was urgently hospitalised. Resuscitation was attempted at the paediatric emergency department, but failed. His mother noticed that the fentanyl patch was missing. It was believed that the baby had ingested the patch, although the patch was never found. He was intubated, wherein vomitus was observed in his trachea and oesophagus, which indicated aspiration. It was thought that the patch might have been overlooked in the vomitus. His access to the fentanyl patch was subsequently confirmed by a medical examiner. Pulmonary congestion and pulmonary oedema were reported as physical findings, while toxicology revealed fatal acute fentanyl intoxication. * Country of occurrence, reporter country and primary source country not stated. Thornton P. US SAFETY BRIEFS: FentaNYL patch fatalities linked to bystander apathy. We ALL have a role in prevention!. Journal of Pharmacy Practice and Research 43: 803501781 300-301, No. 4, Dec 2013. Available from: URL: http://doi.org/10.1002/j.2055-2335.2013.tb00280.x
0114-9954/20/1822-0001/$14.95 Adis © 2020 Springer Nature Switzerland AG. All rights reserved
Reactions 19 Sep 2020 No. 1822
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