Inadvertent intrathecal injection of atracurium

Zirak, N. and Soltani, G. and Ghomian, N. and Hasanpour, M. and Mashayekhi, Z. (2011) Inadvertent intrathecal injection of atracurium. Saudi Journal of Anaesthesia, 5 (2). pp. 223-225.

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This report relates how tracurium was given by mistake, intrathecally, during spinal anesthesia, to a 38-year-old woman, who was a candidate for abdominal hysterectomy. When no analgesia was observed, the mistake in giving the injection was understood. She was evaluated postoperatively by train of four ratio, measuring her breathing rate, eye opening, and protruding of tongue at one, two, twenty-four, and forty-eight hours, and then at one and two weeks, with the final evaluation the following month. The patient had normal timings during the operation and postoperation periods, and no abnormal findings were observed through the first month. This finding was contrary to several studies, which described adverse reactions due to accidental intrathecal injection of neuromuscular blocking drugs.

Item Type: Article
Additional Information: Cited By :3 Export Date: 16 February 2020 Correspondence Address: Soltani, G.; Department of Anesthesiology, Imam Reza Hospital, Mashhad University of Medical Sciences (MUMS), Mashhad, Iran; email:
Uncontrolled Keywords: Complication spinal anesthesia tracurium atracurium bupivacaine fentanyl lidocaine mercaine midazolam propofol unclassified drug abdominal hysterectomy adult ampoule anesthesiological techniques article blood pressure case report drug administration route electrocardiography female heart rate human local anesthesia mean arterial pressure medication error motor nerve block muscle relaxation nerve block outcome assessment oxygen saturation patient monitoring priority journal
Subjects: WB Practice of Medicine
WE Musculoskeletal system
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib7 lib7
Date Deposited: 01 Mar 2020 07:09
Last Modified: 02 Mar 2020 09:58

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