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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Bibliographic Details
Published inSaudi journal of anaesthesia Vol. 7; no. 4; pp. 464 - 466
Main Authors Najafi, Atabak, Akbari, Hooshang, Khajavi, Mohammad, Etezadi, Farhad
Format Journal Article
LanguageEnglish
Published India Medknow Publications 01.10.2013
Medknow Publications and Media Pvt. Ltd
Medknow Publications & Media Pvt. Ltd
Medknow Publications & Media Pvt Ltd
Wolters Kluwer Medknow Publications
Subjects
Anesthesia
Cardiac arrhythmia
Case Report
Drug dosages
Epinephrine
Hernia
Hernias
Hospitals
Inadvertent intrathecal injection
Magnesium
Magnesium sulfate
neurotoxicity
Pregnancy
spinal anesthesia
spinal anesthesia
neurotoxicity
Inadvertent intrathecal injection
magnesium sulfate
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Summary: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.
ISSN:1658-354X
0975-3125
DOI:10.4103/1658-354X.121049