title: Epidural medications given intravenously may result in death.
abstract: Anesthetics, such as bupivacaine, intended for epidural analgesia can cause severe cardio- and neurotoxicity when inadvertently administered via the intravenous route. This article highlights a case report and the dangers associated with the inadvertent administration of an epidural solution intravenously. Multiple system-based strategies for prevention are provided.
authors: Institute for Safe Medication Practices Canada, Toronto, Ontario. ckoczmara@ismp-canada.org
authors: Christine
authors: C
authors: Koczmara
authors: Sylvia
authors: S
authors: Hyland
authors: Roger
authors: R
authors: Cheng
mesh_terms: D000293:Adolescent; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical / Q000009:adverse effects; D000779:Anesthetics, Local / Q000008:administration & dosage* / Q000009:adverse effects*; D002045:Bupivacaine / Q000009:adverse effects; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007262:Infusions, Intravenous / Q000009:adverse effects*; D008508:Medication Errors / Q000517:prevention & control*; D008509:Medication Systems; D011247:Pregnancy
chemical_list: D000779:Anesthetics, Local; D002045:Bupivacaine