Inadvertent Intrathecal Administration of Digoxin, with Review of the Literature.
Journal
Case reports in neurological medicine
ISSN: 2090-6668
Titre abrégé: Case Rep Neurol Med
Pays: United States
ID NLM: 101576451
Informations de publication
Date de publication:
2023
2023
Historique:
received:
24
07
2023
revised:
09
10
2023
accepted:
11
10
2023
medline:
30
10
2023
pubmed:
30
10
2023
entrez:
30
10
2023
Statut:
epublish
Résumé
While the systemic effects of digoxin have been studied, limited data exist on the effects of neuraxial administration. Prior case reports document how digoxin and lidocaine share indistinguishable vials and were inadvertently stocked together in spinal and epidural anesthesia kits, necessitating a need for further implementation of safety measures. Here, we report the poor progression and brain death of a postpartum woman after accidental administration of intrathecal digoxin during a routine elective cesarean section (C-section). It is imperative that quality improvement and safety measures are taken to avoid the recurrence of this medical error.
Identifiants
pubmed: 37899764
doi: 10.1155/2023/4034919
pmc: PMC10611538
doi:
Types de publication
Case Reports
Langues
eng
Pagination
4034919Informations de copyright
Copyright © 2023 Burton J. Tabaac et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
Références
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