BEUDAMED
    FDA Adverse Event Death Summary report: N

    ALARIS

    MDR report key: 3915369 · Received June 25, 2014

    Report

    Report Number
    3915369
    Event Type
    Death
    Date Received
    June 25, 2014
    Date of Event
    May 14, 2014
    Report Date
    June 25, 2014
    Manufacturer
    CAREFUSION 303, INC.
    Product Code
    FRN
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    A BREVIBLOC (ESMOLOL) DRIP WAS ORDERED AT 50 MCG/KG/MIN; HOWEVER, THE NURSE INADVERTENTLY INITIATED THE INFUSION AT 50 MG/KG/MIN. WITHIN MINUTES AFTER THE INITIATION OF THE BREVIBLOC (ESMOLOL) INFUSION, THE PATIENT'S HEART RATE DROPPED AND HE WENT INTO CARDIAC ARREST. AFTER THE CARDIAC ARREST, THE PATIENT WAS INTUBATED AND PLACED ON A VENTILATOR AND PER THE FAMILY'S REQUEST WAS REMOVED FROM THE VENTILATOR AND EXPIRED LATER THAT EVENING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    369738 ALARIS PUMP, INFUSION FRN CAREFUSION 303, INC. 8015 *

    Patients

    Seq Age Sex Outcome Treatment
    1 49 YR Death CARDIAC DRUGS