Unintentional epidural administration of thiamylal. Case report.
OBJECTIVE
A 36-year-old woman was scheduled for surgery of bicornuate uterus under epidural anesthesia.


METHODS
As a test dose, 3 mL 2.5% thiamylal was injected unintentionally through the epidural catheter instead of 1.5% lidocaine with 15 micrograms epinephrine.


RESULTS
Immediately the patient complained of burning pain in the low back area. Administrations of 10 mL 2% lidocaine without epinephrine and 10 mL normal saline containing hydrocortisone 100 mg were performed through the epidural catheter.


CONCLUSIONS
The patient recovered without permanent neurologic sequelae.
Fukuda
T
T
Department of Anesthesiology, University of Tsukuba, Ibaraki, Japan.
Sato
S
S
Takahashi
S
S
Kumagai
M
M
Naito
H
H
D000059:Accidents; D000328:Adult; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006854:Hydrocortisone / Q000008:administration & dosage; D007268:Injections, Epidural; D008012:Lidocaine / Q000008:administration & dosage; D008159:Lumbar Vertebrae; D009460:Neurologic Examination; D010146:Pain / Q000139:chemically induced; D013840:Thiamylal / Q000008:administration & dosage* / Q000009:adverse effects*; D014599:Uterus / Q000002:abnormalities / Q000601:surgery
D013840:Thiamylal; D008012:Lidocaine; D006854:Hydrocortisone