title: [Inadvertent epidural infusion of paracetamol].
abstract: A 45-year-old woman was accidentally administered an epidural infusion of paracetamol instead of levobupivacaine for postoperative pain therapy during the postoperative period of abdominal hysterectomy under general anesthesia combined with epidural analgesia. The patient had no neurological symptoms at any time, although a slight tendency to arterial hypotension that did not require treatment was observed. No rescue analgesia was necessary until 8h after the start of epidural infusion. The incidence of these types of errors is probably underestimated, although there are several cases reported with various drugs.
authors: Servicio de Anestesiología y Reanimación, Hospital Virgen del Castillo, Yecla, Murcia, España. Electronic address: latinloisii@hotmail.com.
authors: L M
authors: LM
authors: Charco Roca
authors: Servicio de Anestesiología y Reanimación, Hospital Virgen del Castillo, Yecla, Murcia, España.
authors: V E
authors: VE
authors: Ortiz Sánchez
authors: Servicio de Anestesiología y Reanimación, Hospital Virgen del Castillo, Yecla, Murcia, España.
authors: A L
authors: AL
authors: del Pino Moreno
mesh_terms: D000082:Acetaminophen / Q000008:administration & dosage / Q000009:adverse effects*; D015360:Analgesia, Epidural; D002045:Bupivacaine / Q000031:analogs & derivatives; D004824:Epidural Space; D005260:Female; D006801:Humans; D007044:Hysterectomy; D060186:Infusions, Spinal; D000077554:Levobupivacaine; D008508:Medication Errors; D008875:Middle Aged; D010149:Postoperative Pain / Q000188:drug therapy*
chemical_list: D000082:Acetaminophen; D000077554:Levobupivacaine; D002045:Bupivacaine
keywords: Adverse events; Analgesia epidural; Drug administration errors; Epidural analgesia; Errores de medicación; Eventos adversos; Paracetamol