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BY-NC-ND 3.0 license Open Access Published by De Gruyter Open Access August 9, 2011

Inadvertent epidural infusion of paracetamol in an elderly patient

  • Marius Dehne EMAIL logo
From the journal Open Medicine

Abstract

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.

[1] Hew CM, Cyna AM, Simmons SW. Avoiding inadvertent epidural injection of drugs intended for non-epidural use. Anaesth. Intensive Care 2003; 31:44–49 Search in Google Scholar

[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/s00101005080310.1007/s001010050803Search in Google Scholar PubMed

[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 10.1097/00003643-199906000-00012Search in Google Scholar

[4] Kasaba T, Uehara K, Katsuki H et.al. Analysis of inadvertent epidural injection of drugs. Masui 2000; 49:1391–1394 Search in Google Scholar

[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.x10.1111/j.1399-6576.1995.tb04245.xSearch in Google Scholar PubMed

[6] Courrèges P. Inadvertent epidural infusion of paracetamol in a child. Pediatric Anesthesia 2005, 15: 1128–1130 Search in Google Scholar

[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.2009.02.08006410.3122/jabfm.2009.02.080064Search in Google Scholar PubMed

[8] Graham GG, Scott KF, Day RO. Tolerability of paracetamol. Drugs 2003; 63:43–46 http://dx.doi.org/10.2165/00003495-200363992-0000610.2165/00003495-200363992-00006Search in Google Scholar

Published Online: 2011-8-9
Published in Print: 2011-10-1

© 2011 Versita Warsaw

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

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