Accidental epidural catheter infusion of potassium chloride for postoperative analgesia: A case report.
Infusión accidental de cloruro de potasio a través de un catéter epidural para analgesia postoperatoria: reporte de caso clínico.
Accidental infusion
Acute spinal cord injury
Catéter epidural
Complicaciones
Complications
Epidural catheter
Error de medicación
Infusión accidental
Lesión espinal aguda
Medication mistake
Potasio
Potassium chloride
Journal
Revista espanola de anestesiologia y reanimacion
ISSN: 2341-1929
Titre abrégé: Rev Esp Anestesiol Reanim (Engl Ed)
Pays: Spain
ID NLM: 101778594
Informations de publication
Date de publication:
18 Jun 2021
18 Jun 2021
Historique:
received:
08
05
2020
revised:
25
08
2020
accepted:
11
10
2020
entrez:
22
6
2021
pubmed:
23
6
2021
medline:
23
6
2021
Statut:
aheadofprint
Résumé
An infusion of 100cc of 0,2% potassium chloride was accidental performed through a thoracic epidural catheter, inserted to perioperative analgesia, to a 66years old man who was scheduled for right hemicolectomy, 48hours after surgery. Paresis of upper limbs, flaccid paralysis of lower limbs and a sensitive level at T8 was observed. An epidural lavage with an initial dose of 20cc of saline was slowly injected, followed for a saline infusion of 20cc per hour. Neurologic signs were totally reverted some hours later and 24hours after the incident the physical exam was normal. We reviewed the clinical presentation of the complication and its mechanisms, the more frequent clinical evolution, as well as treatment measures and strategies to prevent the incident.
Identifiants
pubmed: 34154825
pii: S0034-9356(20)30290-5
doi: 10.1016/j.redar.2020.10.010
pii:
doi:
Types de publication
Case Reports
Langues
eng
spa
Informations de copyright
Copyright © 2020 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.