Inadvertent intrathecal injection of large dose magnesium sulfate

The case is a 35-year-old man who underwent spinal anesthesia for emergency strangulated inguinal hernia repair. About five minutes after 3 ml intrathecal drug injection, the patient suffered respiratory distress, bradycardia, hypotension and loss of consciousness. The patient was rapidly intubated...

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Main Authors: Atabak Najafi, Hooshang Akbari, Mohammad Reza Khajavi, Farhad Etezadi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Saudi Journal of Anaesthesia
Subjects:
Online Access:http://www.saudija.org/article.asp?issn=1658-354X;year=2013;volume=7;issue=4;spage=464;epage=466;aulast=Najafi
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author Atabak Najafi
Hooshang Akbari
Mohammad Reza Khajavi
Farhad Etezadi
author_facet Atabak Najafi
Hooshang Akbari
Mohammad Reza Khajavi
Farhad Etezadi
author_sort Atabak Najafi
collection DOAJ
description The case is a 35-year-old man who underwent spinal anesthesia for emergency strangulated inguinal hernia repair. About five minutes after 3 ml intrathecal drug injection, the patient suffered respiratory distress, bradycardia, hypotension and loss of consciousness. The patient was rapidly intubated and crystalloid infusion and epinephrine drip were established. Thereafter, he was admitted in intensive care unit. Search for the cause revealed us that 3 ml of magnesium sulfate (50%) was injected mistakenly for spinal anesthesia. Two days later, he was extubated and on the fifth day, he was discharged from the hospital without an obvious evidence of complication.
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spelling doaj.art-214630ab4f6d4f609c1d8d4e031233e72022-12-22T01:52:44ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2013-01-017446446610.4103/1658-354X.121049Inadvertent intrathecal injection of large dose magnesium sulfateAtabak NajafiHooshang AkbariMohammad Reza KhajaviFarhad EtezadiThe case is a 35-year-old man who underwent spinal anesthesia for emergency strangulated inguinal hernia repair. About five minutes after 3 ml intrathecal drug injection, the patient suffered respiratory distress, bradycardia, hypotension and loss of consciousness. The patient was rapidly intubated and crystalloid infusion and epinephrine drip were established. Thereafter, he was admitted in intensive care unit. Search for the cause revealed us that 3 ml of magnesium sulfate (50%) was injected mistakenly for spinal anesthesia. Two days later, he was extubated and on the fifth day, he was discharged from the hospital without an obvious evidence of complication.http://www.saudija.org/article.asp?issn=1658-354X;year=2013;volume=7;issue=4;spage=464;epage=466;aulast=NajafiInadvertent intrathecal injectionmagnesium sulfateneurotoxicityspinal anesthesia
spellingShingle Atabak Najafi
Hooshang Akbari
Mohammad Reza Khajavi
Farhad Etezadi
Inadvertent intrathecal injection of large dose magnesium sulfate
Saudi Journal of Anaesthesia
Inadvertent intrathecal injection
magnesium sulfate
neurotoxicity
spinal anesthesia
title Inadvertent intrathecal injection of large dose magnesium sulfate
title_full Inadvertent intrathecal injection of large dose magnesium sulfate
title_fullStr Inadvertent intrathecal injection of large dose magnesium sulfate
title_full_unstemmed Inadvertent intrathecal injection of large dose magnesium sulfate
title_short Inadvertent intrathecal injection of large dose magnesium sulfate
title_sort inadvertent intrathecal injection of large dose magnesium sulfate
topic Inadvertent intrathecal injection
magnesium sulfate
neurotoxicity
spinal anesthesia
url http://www.saudija.org/article.asp?issn=1658-354X;year=2013;volume=7;issue=4;spage=464;epage=466;aulast=Najafi
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AT mohammadrezakhajavi inadvertentintrathecalinjectionoflargedosemagnesiumsulfate
AT farhadetezadi inadvertentintrathecalinjectionoflargedosemagnesiumsulfate