Inadvertent spinal injection of ondansetron.
Cesarean sections under spinal anesthesia are now a daily occurrence in most tertiary hospitals. We report the first published case of inadvertent spinal injection of ondansetron without any neurological sequelae in a patient undergoing elective Cesarean section under spinal anesthesia. She did not experience any permanent neurological sequelae, and also did not exhibit any central neuraxial opioid side effects-nausea, vomiting or pruritus. Vigilance is essential to reduce the risk of wrong route delivery of drugs, especially when presented in very similar-looking 2 mL ampules as in our institution.
Department of Anaesthesia, National University Health Systems, Level 3 Main Building, 5 Lower Kent Ridge Road, Singapore, 119074, Singapore.
May-Han
MH
Loh
Department of Anaesthesia, National University Health Systems, Level 3 Main Building, 5 Lower Kent Ridge Road, Singapore, 119074, Singapore. lynlilean@gmail.com.
Lyn Li
0000-0001-6689-7461
LL
Lean
Department of Anaesthesia, National University Health Systems, Level 3 Main Building, 5 Lower Kent Ridge Road, Singapore, 119074, Singapore.
Bryan Su Wei
BSW
Ng
Department of Anaesthesia, National University Health Systems, Level 3 Main Building, 5 Lower Kent Ridge Road, Singapore, 119074, Singapore.
Will Ne-Hooi
WN
Loh
D000328:Adult; D000701:Analgesics, Opioid / Q000008:administration & dosage; D000775:Anesthesia, Spinal / Q000379:methods*; D002585:Cesarean Section / Q000379:methods*; D005260:Female; D006801:Humans; D007278:Injections, Spinal; D017294:Ondansetron / Q000008:administration & dosage* / Q000009:adverse effects; D011247:Pregnancy
D000701:Analgesics, Opioid; D017294:Ondansetron
Anesthesia; Injection; Intrathecal; Ondansetron hydrochloride; Spinal
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