Inadvertent intrathecal injection of tranexamic acid
Some factors have been identified as contributing to medical errors such as labels, appearance, and location of ampules. In this case report, inadvertent intrathecal injection of 80 mg tranexamic acid was followed by severe pain in the back and the gluteal region, myoclonus on lower extremities and...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2011-01-01
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| Series: | Saudi Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.saudija.org/article.asp?issn=1658-354X;year=2011;volume=5;issue=1;spage=90;epage=92;aulast=Kaabachi |
| _version_ | 1818951385244237824 |
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| author | Olfa Kaabachi Mongi Eddhif Karim Rais Mohamed Ali Zaabar |
| author_facet | Olfa Kaabachi Mongi Eddhif Karim Rais Mohamed Ali Zaabar |
| author_sort | Olfa Kaabachi |
| collection | DOAJ |
| description | Some factors have been identified as contributing to medical errors such as labels, appearance, and location of ampules. In this case report, inadvertent intrathecal injection of 80 mg tranexamic acid was followed by severe pain in the back and the gluteal region, myoclonus on lower extremities and agitation. General anesthesia was induced to complete surgery. At the end of anesthesia, patient developed polymyoclonus and seizures needing supportive care of the hemodynamic, and respiratory systems. He developed ventricular tachycardia treated with Cordarone infusion. The patient′s condition progressively improved to full recovery 2 days after. Confusion between hyperbaric bupivacaine and tranexamic acid was due to similarities in appearance between both ampules. |
| first_indexed | 2024-12-20T09:33:38Z |
| format | Article |
| id | doaj.art-999dafd81a0d4e1690226cca5933098e |
| institution | Directory Open Access Journal |
| issn | 1658-354X |
| language | English |
| last_indexed | 2024-12-20T09:33:38Z |
| publishDate | 2011-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj.art-999dafd81a0d4e1690226cca5933098e2022-12-21T19:45:02ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2011-01-0151909210.4103/1658-354X.76504Inadvertent intrathecal injection of tranexamic acidOlfa KaabachiMongi EddhifKarim RaisMohamed Ali ZaabarSome factors have been identified as contributing to medical errors such as labels, appearance, and location of ampules. In this case report, inadvertent intrathecal injection of 80 mg tranexamic acid was followed by severe pain in the back and the gluteal region, myoclonus on lower extremities and agitation. General anesthesia was induced to complete surgery. At the end of anesthesia, patient developed polymyoclonus and seizures needing supportive care of the hemodynamic, and respiratory systems. He developed ventricular tachycardia treated with Cordarone infusion. The patient′s condition progressively improved to full recovery 2 days after. Confusion between hyperbaric bupivacaine and tranexamic acid was due to similarities in appearance between both ampules.http://www.saudija.org/article.asp?issn=1658-354X;year=2011;volume=5;issue=1;spage=90;epage=92;aulast=KaabachiIntrathecalseizurestranexamic acidventricular tachycardia |
| spellingShingle | Olfa Kaabachi Mongi Eddhif Karim Rais Mohamed Ali Zaabar Inadvertent intrathecal injection of tranexamic acid Saudi Journal of Anaesthesia Intrathecal seizures tranexamic acid ventricular tachycardia |
| title | Inadvertent intrathecal injection of tranexamic acid |
| title_full | Inadvertent intrathecal injection of tranexamic acid |
| title_fullStr | Inadvertent intrathecal injection of tranexamic acid |
| title_full_unstemmed | Inadvertent intrathecal injection of tranexamic acid |
| title_short | Inadvertent intrathecal injection of tranexamic acid |
| title_sort | inadvertent intrathecal injection of tranexamic acid |
| topic | Intrathecal seizures tranexamic acid ventricular tachycardia |
| url | http://www.saudija.org/article.asp?issn=1658-354X;year=2011;volume=5;issue=1;spage=90;epage=92;aulast=Kaabachi |
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