Δημοσίευση

[Inadvertent injection of succinylcholine as an epidural test dose].

Τίτλος[Inadvertent injection of succinylcholine as an epidural test dose].
Publication TypeJournal Article
Year of Publication2017
AuthorsPourzitaki, C., Tsaousi G., Logotheti H., & Amaniti E.
JournalRev Bras Anestesiol
Volume67
Issue4
Pagination411-414
Date Published2017 Jul - Aug
ISSN1806-907X
Abstract

BACKGROUND AND OBJECTIVES: Epidural action of neuromuscular blocking agents could be explained under the light of their physicochemical characteristics and epidural space properties. In the literature there are few cases of accidental neuromuscular agent's epidural administration, manifesting mainly with neuromuscular blockade institution or fasciculations.CASE REPORT: We report a case of accidental succinylcholine administration as an epidural test dose, in a female patient undergoing scheduled laparotomy, under combined general and epidural anesthesia. Approximately 2min after the succinylcholine injection the patient complained for shortness of breath, while mild fasciculations appeared in her trunk and face, managed by immediate general anesthesia institution. With the exception of a relatively longer duration of neuromuscular blockade compared with intravenous administration, no neurological or cardiovascular sequelae or other symptoms of local or systemic toxicity were observed.CONCLUSIONS: Oral administration of diazepam seems to lessen the adverse effects from accidental epidural administration of succinylcholine. The meticulous and discriminative labeling of syringes, as well as keeping persistent cautions during all anesthesia procedures remains of crucial importance.

DOI10.1016/j.bjan.2014.10.007
Alternate JournalRev Bras Anestesiol
PubMed ID27346213

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