Inadvertent intrathecal administration of potassium chloride during routine spinal anesthesia: case report.
作者信息
Meel B
机构信息
Department of Forensic Medicine, University of Transkei, Umtata, South Africa.
出版信息
Am J Forensic Med Pathol. 1998 Sep;19(3):255-7. doi: 10.1097/00000433-199809000-00011.
Abstract
During routine spinal anesthesia, an ampule of potassium chloride, instead of bupivacaine, was mistakenly opened and inadvertently administered intrathecally to a patient, resulting in pain, cramps, and death within 2.5 hours of injection. We discuss the medicolegal implications of such an error and possible preventive measures pertaining to this case.
摘要
Zotero 插件