title: Vanishing bowl of local anesthetics: A lesson for sterile labeling.
abstract: It is well known that labelling is crucial in anesthetic practice. Syringe and drug preparation errors accounted for 452 (50.4%) incidents in the Australian Incident Monitoring Study database. We report a unique potential event of possible wrong route administration of medications where a bowl of local anaesthetics was mistakenly taken to the surgical trolley. This incident serves as lesson for practicing sterile labelling and identifying anaesthetic trolley.
authors.affiliation: Department of Anesthesiology, BLDE University's Shri B. M. Patil Medical College, Bijapur, Karnataka, India.
authors.forename: P L
authors.initials: PL
authors.lastname: Narendra
authors.affiliation: Department of Anesthesiology, BLDE University's Shri B. M. Patil Medical College, Bijapur, Karnataka, India.
authors.forename: Prashant A
authors.initials: PA
authors.lastname: Biradar
authors.affiliation: Department of Anaesthesia and Intensive Care, Sandwell General Hospital and West Birmingham Hospitals, NHS Trust, Lyndon, West Bromwich, B71 4HJ, UK.
authors.forename: Anil Nanjundeswara
authors.initials: AN
authors.lastname: Rao
keywords: Medication error; labeling; sterile field