Inadvertent injection of thiopentone to the brachial plexus sheath. A case report.
Fifteen millilitre of 2.5% thiopentone was accidentally injected via the axillary route to the brachial plexus sheath of a fit 17-yr-old male. Mild discomfort was experienced during the injection. Immediate treatment included injection of normal saline 40 ml and 1% lignocaine with adrenaline (1 : 200,000) 40 ml to the sheath. A stellate ganglion block was also performed and dexamethasone administered i.v. The patient experienced moderate local pain and tenderness during the subsequent 3 days, but no neurological or vascular sequelae. Guidelines for the prevention and treatment of this mishap are suggested.
D000293:Adolescent; D001917:Brachial Plexus; D006801:Humans; D007267:Injections; D008012:Lidocaine / Q000627:therapeutic use; D008297:Male; D008508:Medication Errors; D012965:Sodium Chloride / Q000627:therapeutic use; D013874:Thiopental / Q000008:administration & dosage*
D012965:Sodium Chloride; D008012:Lidocaine; D013874:Thiopental