Accidental injection of lignocaine with adrenaline in subarachnoid space: a case report


  • Swati Arya Department of Anaesthesiology, Sr AIIMS, Rishikesh, Uttarakhand, India
  • Ashish Arya Department of Orthopedics, KCGMC, Karnal, Haryana, India
  • Namrata Gupta Department of Anaesthesiology, Sr AIIMS, Rishikesh, Uttarakhand, India



Lignocaine, Adrenaline, Subarachnoid space


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 we have to be very careful about the labelling of drugs.


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How to Cite

Arya, S., Arya, A., & Gupta, N. (2019). Accidental injection of lignocaine with adrenaline in subarachnoid space: a case report. International Journal of Basic & Clinical Pharmacology, 8(9), 2161–2162.



Case Reports