Inadvertent epidural infusion of paracetamol in an elderly patient

• Autorzy: Marius Dehne
• Języki publikacji: EN

Abstrakty

EN

A 76 year old patient underwent a laparoscopic rectal resection performed under thoracic epidural anaesthesia and general anaesthesia. He was inadvertently given 1 g of paracetamol epidural and reported a position-independent holocephalic headache one day later. A severe nausea and vomiting lead to a gastrointestinal bleeding. The last neurological examination after 3 months revealed no nausea, no headaches and no sensory disturbances.

Słowa kluczowe

EN

Paracetamol; Epidural application; Inadvertent

• Czasopismo: Open Medicine
• Rocznik: 2011
• Tom: 6
• Numer: 5
• Strony: 595-597

Daty

wydano

2011-10-01

online

2011-08-09

Twórcy

autor

Marius Dehne

• Department for Anaesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Therapy, Verbundkrankenhaus Bernkastel/Wittlich Koblenzer Str. 91, 54516, Wittlich, Germany,

Bibliografia

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• [2] Kulka PJ, Stratesteffen I, Grünewald R, Wiebalck A. Inadvertent potassium chloride infusion into an epidural catheter. Anaesthesist 1999; 48:12, 896–9 http://dx.doi.org/10.1007/s001010050803[Crossref]
• [3] Peduto VA, Mezetti D, Gori F. A clinical diagnosis of in inadvertent epidural administration of potassium chloride. Eur J Anaesthesiol 1999;16:410–412
• [4] Kasaba T, Uehara K, Katsuki H et.al. Analysis of inadvertent epidural injection of drugs. Masui 2000; 49:1391–1394 [PubMed]
• [5] Liu K, Chia YY. Inadvertent epidural injection of potassium chloride. Report of two cases. Acta Anaesthesiol Scand 1995; 39:1134–1137 http://dx.doi.org/10.1111/j.1399-6576.1995.tb04245.x[Crossref]
• [6] Courrèges P. Inadvertent epidural infusion of paracetamol in a child. Pediatric Anesthesia 2005, 15: 1128–1130
• [7] Reamy BV. Post-epidural headache: how late can it occur? J Am Board Fam Med. 2009 Mar–Apr;22(2):202–205 http://dx.doi.org/10.3122/jabfm.2009.02.080064[Crossref]
• [8] Graham GG, Scott KF, Day RO. Tolerability of paracetamol. Drugs 2003; 63:43–46 http://dx.doi.org/10.2165/00003495-200363992-00006[Crossref]

Identyfikatory

DOI

10.2478/s11536-011-0066-5