• Dynamics (Pembroke, Ont.) · Jan 2007

    Case Reports

    Epidural medications given intravenously may result in death.

    • Christine Koczmara, Sylvia Hyland, and Roger Cheng.
    • Institute for Safe Medication Practices Canada, Toronto, Ontario. ckoczmara@ismp-canada.org
    • Dynamics. 2007 Jan 1;18(3):34-6.

    AbstractAnesthetics, such as bupivacaine, intended for epidural analgesia can cause severe cardio- and neurotoxicity when inadvertently administered via the intravenous route. This article highlights a case report and the dangers associated with the inadvertent administration of an epidural solution intravenously. Multiple system-based strategies for prevention are provided.

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