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Fulminant pulmonary oedema after administration of a balanced electrolyte polyethylene glycol solution. (Case Report).
The safety of balanced electrolyte polyethylene glycol (PEG) solutions has been documented in children. (1, 2) We describe a previously well child who developed fulminant pulmonary oedema after treatment with Golytely (Braintree Laboratories, Braintree, USA).
The 5 year old boy was electively admitted for treatment of constipation. A nasogastric tube (NGT) was passed for infusion of the PEG solution. Auscultation and aspiration confirmed intragastric position, but no abdominal radiograph was performed. Three hours after starting the infusion (100 ml/h) he was found stuporose, tachypnoeic, and cyanosed. The NGT was removed, and he was admitted to intensive care for …
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