title: Inadvertent administration of magnesium sulfate through the epidural catheter: report and analysis of a drug error.
abstract: We present two reports of pregnant women in labor who inadvertently received a magnesium sulfate solution in their epidural space. Both women received approximately 9 mg of magnesium sulfate, and neither of them demonstrated any signs or symptoms of focal neurological toxicity. Once the mistakes were discovered and appropriate medication was delivered, the patients attained an acceptable level of analgesia.
authors.affiliation: Department of Anesthesiology, Case Western Reserve University School of Medicine and University Hospitals of Cleveland, Ohio, USA. evan.goodman@uhhs.com
authors.forename: E J
authors.initials: EJ
authors.lastname: Goodman
authors.forename: A J
authors.initials: AJ
authors.lastname: Haas
authors.forename: G S
authors.initials: GS
authors.lastname: Kantor
mesh_terms: D000328:Adult; D015360:Analgesia, Epidural; D016362:Analgesia, Obstetrical; D016058:Analgesia, Patient-Controlled; D004824:Epidural Space; D005260:Female; D006801:Humans; D008278:Magnesium Sulfate / Q000008:administration & dosage*; D008508:Medication Errors; D011247:Pregnancy
chemical_list: D008278:Magnesium Sulfate