{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T11:40:12Z","timestamp":1786448412198,"version":"build-2736575974"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100008977","name":"Universit\u00e4t Ulm","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100008977","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Forensic Sci Med Pathol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Medical tubing misconnections represent a severe and often underreported hazard in clinical and home-care settings. While intravenous and enteral feeding misconnections are well-documented, accidental connections between oxygen delivery systems and urinary catheters are exceedingly rare. We present an unusual forensic case of a 65-year-old male with chronic obstructive pulmonary disease (COPD) and lower-body paralysis who accidentally connected his nasal cannula oxygen tubing to his suprapubic bladder catheter following a fall from his bed. The cause of death was determined to be acute respiratory failure secondary to barotrauma-induced tension pneumothorax and tension pneumoperitoneum, exacerbated by pre-existing pulmonary compromise. This case highlights the vital role of combining postmortem CT-scan with traditional autopsy to accurately diagnose complex barotrauma and gas distribution. Furthermore, it underscores the urgent need for standardized, incompatible connector designs (such as the ISO 80369 standards) to prevent fatal mechanical misconnections, especially in patients susceptible to hypoxia-induced cognitive impairment.<\/jats:p>","DOI":"10.1007\/s12024-026-01335-1","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T11:26:47Z","timestamp":1786447607000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Fatal accidental oxygen insufflation via suprapubic catheter"],"prefix":"10.1007","author":[{"given":"Kunz","family":"SN","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baisch","family":"S","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steinhoff","family":"SL","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,11]]},"reference":[{"key":"1335_CR1","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1097\/01.NAJ.0000947468.89142.03","volume":"123","author":"D Mazzella","year":"2023","unstructured":"Mazzella D. Reducing tubing and device misconnections. Am J Nurs. 2023;123:43\u201336.","journal-title":"Am J Nurs"},{"key":"1335_CR2","first-page":"414","volume":"37","author":"D Simmons","year":"2011","unstructured":"Simmons D, Symes L, Guenther R, Shannon EA. Tubing misconnections: a persistent and potentially deadly occurrence. Jt Comm J Qual Patient Saf. 2011;37:414\u20139.","journal-title":"Jt Comm J Qual Patient Saf"},{"key":"1335_CR3","doi-asserted-by":"publisher","first-page":"455","DOI":"10.1016\/j.jcrc.2017.08.010","volume":"42","author":"SJ Brull","year":"2017","unstructured":"Brull SJ, Prielipp RC. Vascular air embolism: A silent hazard to patient safety. J Crit Care. 2017;42:455\u2013263.","journal-title":"J Crit Care"},{"key":"1335_CR4","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1007\/s00194-021-00528-y","volume":"32","author":"A B\u00f6ckers","year":"2022","unstructured":"B\u00f6ckers A, Steinhoff S, Scholl T, Kunz SN. Suicidal gas embolism in hospital. 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J Forensic Radiol Imaging. 2015;3:154\u20139.","journal-title":"J Forensic Radiol Imaging"}],"container-title":["Forensic Science, Medicine and Pathology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12024-026-01335-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s12024-026-01335-1","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12024-026-01335-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T11:26:48Z","timestamp":1786447608000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s12024-026-01335-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,11]]},"references-count":10,"alternative-id":["1335"],"URL":"https:\/\/doi.org\/10.1007\/s12024-026-01335-1","relation":{},"ISSN":["1556-2891"],"issn-type":[{"value":"1556-2891","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,11]]},"assertion":[{"value":"6 May 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 July 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 August 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The content of this case report is in alignment with ethical standards of Ulm University.","order":1,"name":"Ethics","label":"Ethical statement","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","label":"Consent to participate and for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":3,"name":"Ethics","label":"Clinical trial number","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors have no conflict of interest to declare.","order":4,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":5,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}]}}