Accidental injection of lignocaine with adrenaline in subarachnoid space: a case report
DOI:
https://doi.org/10.18203/2319-2003.ijbcp20194134Keywords:
Lignocaine, Adrenaline, Subarachnoid spaceAbstract
Drug errors are very common in medical field especially in anaesthesia where it’s the game of drugs. Here, we are presenting a case in which accidentally we injected lignocaine with adrenaline in place of heavy bupivacaine. Patient was of geriatric age group and posted for lower limb surgery under combined spinal epidural anaesthesia after placement of epidural catheter lumber puncture was done and 3ml of lignocaine with adrenaline was injected. After this patient develop complete sensory, motor blockade with hypotension. Level of block was up to T12 level patient was monitored for signs and symptoms of ransient neurologic syndrome (TNS) and anterior spinal artery syndrome for 24 hours. After 24 hours patient develop no complications and posted for surgery under general anaesthesia.so we have to be very careful about the labelling of drugs.
References
Glavin RJ. Prospective studies suggest that the error rate in anaesthesia is around one error in every 133 anaesthetics. Drug errors: consequences, mechanisms, and avoidance. Br J Anaesthesia. 2010;105(1):76–82,
Moore DC, Bridenbaugh LD. Spinal (subarachnoid) Block, A review of 11, 574 cases. JAMA. 1996;195:123-8.
Batistaki C, Sideri E, Tselfes P. Comparison of haemodynamic changes after subarachnoid anaesthesia with lidocaine or levobupivacaine in geriatric patients. Regional Anesthesia Pain Med. 2007;32:36.
Mbelloni LE. Spinal anesthesia with 2% plain lidocaine for short orthopedic surgery: study in 250 patients. Revista Brasileira de Anestesiologia. 2002;52(1):24-33.
Adriani J. Intrathecal Vasoconstrictors. 1nt. Anesth. Clin. 1963;1:789-96.
Kristensen J, Helbo-Hansen HS, Toft P, Hole P. Spinal anaesthesia with glucose-free 2% lignocaine. Effect of different volumes. Acta Anaesthesiol Scand. 1989;33:53-7.
Tort P, Bruun-Mogensen C, Kristensen J, Hole P. A comparison of glucose free 2% lidocaine and hyperbaric 5% lidocaine for spinal anaesthesia. Acta Anaesthesiol Scand. 1990;34:109-13.
