Accidental spinal potassium chloride injection successfully treated with spinal lavage.
We describe the management of a 62-year-old man who developed severe pain, cramps, paraplegia and pulmonary oedema after the accidental administration of potassium chloride into the subarachnoid space. In addition to supportive treatment, we performed cerebrospinal fluid lavage with saline 0.9%. The patient recovered well without any permanent injury.
Anaesthesia Service, Centro Hospitalar Do Alto Ave, Guimarães, Portugal.
J
J
Dias
N
N
Lages
A
A
Marinho
L
L
Maria
J
J
Tinoco
D
D
Vieira
C
C
Correia
D000775:Anesthesia, Spinal / Q000009:adverse effects*; D000779:Anesthetics, Local; D002045:Bupivacaine; D004349:Drug Packaging; D006801:Humans; D007278:Injections, Spinal; D008297:Male; D008508:Medication Errors / Q000009:adverse effects*; D008875:Middle Aged; D010264:Paraplegia / Q000139:chemically induced / Q000628:therapy; D011189:Potassium Chloride / Q000506:poisoning*; D007507:Therapeutic Irrigation / Q000379:methods*
D000779:Anesthetics, Local; D011189:Potassium Chloride; D002045:Bupivacaine