Epidural medications given intravenously may result in death.
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.
Koczmara
Christine
C
Institute for Safe Medication Practices Canada, Toronto, Ontario. ckoczmara@ismp-canada.org
Hyland
Sylvia
S
Cheng
Roger
R
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
D000779:Anesthetics, Local; D002045:Bupivacaine