[Inadvertent potassium chloride infusion in an epidural catheter]. / Versehentliche Infusion von Kaliumchlorid in einen Epiduralkatheter.
Anaesthesist
; 48(12): 896-9, 1999 Dec.
Article
en De
| MEDLINE
| ID: mdl-10672353
ABSTRACT
In a 65 years old male patient 38 cc of a 7.45% potassium chloride-solution was inadvertently infused within 3 hours into an epidural catheter on the first postoperative day. The epidural potassium chloride administration resulted in a paresis and painful paraesthesia of the patient's legs and a level of sensory blockade to TH 11. Furthermore vegetative symptoms like hypertension and tachycardia were observed. For therapy a single bolus of 40 mg dexamethasone was administered intravenously followed by an epidural infusion of sodium chloride 0.9% 99 cc/h for several hours. About 6 hours after the start of infusion all symptoms had disappeared. It is proposed that the use of colour-coded epidural catheter devices and coloured electrolyte solutions as well as infusion-pumps with a larger reservoir that reduce the frequency of syringe changes would be helpful in avoiding such complications.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Cloruro de Potasio
/
Errores Médicos
/
Anestesia Epidural
Límite:
Aged
/
Humans
/
Male
Idioma:
De
Revista:
Anaesthesist
Año:
1999
Tipo del documento:
Article