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Najafi A, Akbari H, Khajavi MR, et al. Inadvertent intrathecal injection of large dose magnesium sulfate. Saudi J Anaesth. 2013;7(4):464-6doi: 10.4103/1658-354X.121049.
Najafi, A., Akbari, H., Khajavi, M. R., & Etezadi, F. (2013). Inadvertent intrathecal injection of large dose magnesium sulfate. Saudi journal of anaesthesia, 7(4), 464-6. https://doi.org/10.4103/1658-354X.121049
Najafi, Atabak, et al. "Inadvertent intrathecal injection of large dose magnesium sulfate." Saudi journal of anaesthesia vol. 7,4 (2013): 464-6. doi: https://doi.org/10.4103/1658-354X.121049
Najafi A, Akbari H, Khajavi MR, Etezadi F. Inadvertent intrathecal injection of large dose magnesium sulfate. Saudi J Anaesth. 2013 Oct;7(4):464-6. doi: 10.4103/1658-354X.121049. PMID: 24348302; PMCID: PMC3858701.
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Saudi J Anaesth. 2013 Oct;7(4):464-6. doi: 10.4103/1658-354X.121049.

Inadvertent intrathecal injection of large dose magnesium sulfate.

Saudi journal of anaesthesia

Atabak Najafi, Hooshang Akbari, Mohammad Reza Khajavi, Farhad Etezadi

Affiliations

  1. Department of Anesthesiology and Critical Care, Tehran University of Medical Sciences, Sina Hospital, Tehran, Iran.

PMID: 24348302 PMCID: PMC3858701 DOI: 10.4103/1658-354X.121049

Abstract

The case is a 35-year-old man who underwent spinal anesthesia for emergency strangulated inguinal hernia repair. About five minutes after 3 ml intrathecal drug injection, the patient suffered respiratory distress, bradycardia, hypotension and loss of consciousness. The patient was rapidly intubated and crystalloid infusion and epinephrine drip were established. Thereafter, he was admitted in intensive care unit. Search for the cause revealed us that 3 ml of magnesium sulfate (50%) was injected mistakenly for spinal anesthesia. Two days later, he was extubated and on the fifth day, he was discharged from the hospital without an obvious evidence of complication.

Keywords: Inadvertent intrathecal injection; magnesium sulfate; neurotoxicity; spinal anesthesia

References

  1. Nature. 1984 May 17-23;309(5965):261-3 - PubMed
  2. Br J Anaesth. 2004 Oct;93(4):568-78 - PubMed
  3. Anesth Analg. 2002 Sep;95(3):661-6, table of contents - PubMed
  4. Reg Anesth. 1995 Nov-Dec;20(6):533-7 - PubMed
  5. J Anesth. 2009;23(1):19-25 - PubMed
  6. S Afr Med J. 1985 Sep 14;68(6):367-8 - PubMed
  7. Anaesthesia. 1996 Jul;51(7):627-33 - PubMed
  8. Am Heart J. 1984 Jul;108(1):188-93 - PubMed
  9. Can J Anaesth. 2003 Aug-Sep;50(7):732-46 - PubMed
  10. Br J Anaesth. 1984 Nov;56(11):1191-5 - PubMed

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