Zusammenfassung
Glukosehaltige Infusionslösungen werden traditionell in der Pädiatrie eingesetzt,
sie finden sich auch etwa auf jedem 3. deutschen Rettungsdienstfahrzeug. Es wird von
drei fatalen Zwischenfällen bei Kleinkindern berichtet, die akzidentell oder unkritisch
Glukoseinfusionen erhielten. In der Notfallmedizin und Anästhesiologie sind Glukoseinfusionen
auf wenige Ausnahmeindikationen beschränkt. Der nichtindizierte Einsatz führt beim
kritisch Kranken zu erhöhter Morbidität. Falls beim indizierten Einsatz solche Lösungen
erforderlich sind, können sie durch Zugabe von Glukose 40 % hergestellt werden. Glukose
als Infusion sollte zur Vermeidung von fatalen Verwechslungen nicht routinemäßig vorgehalten
werden. Es wird deshalb die kostengünstigere Vorhaltung von Ringer-Laktat-Lösung oder
von Vollelektrolytlösungen empfohlen.
Abstract
Glucose-containing drip solutions are used traditionally in the paediatrics, they
are also found possibly on each 3rd German rescue vehicle. We report about three fatal incidents with infants, who received
Glucose drips akzidentally or uncritically. In emergency medicine and Anesthesiology
Glucose drips are limited to few special indications, on the other hand, the non-indicated
application in the critically sick child results in raised morbidity. Because such
solutions could be produced simply by addition of Glucose 40 %, they should not be
stored to the avoidance of fatal mistakes. We recommend more economical storing of
Ringer's lactate solution or of full electrolytic solutions on rescue vehicles.
Schlüsselwörter
Glukoseinfusion - Pädiatrie - Komplikation - Notfallmedizin
Key words
glucose infusion - paediatrics - adverse (side) effects - emergency medicine
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Dr. med. Matthias Thöns
Arzt für Anästhesiologie, Notfall- und Palliativmedizin
Wiesenstraße 14
58452 Witten
eMail: kinderanaesthesie@email.de
URL: http://www.stiftung-paula-wittenberg.de