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.
Department of Anesthesiology, University of Tsukuba, Ibaraki, Japan.
T
T
Fukuda
S
S
Sato
S
S
Takahashi
M
M
Kumagai
H
H
Naito
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