Email this article Accidental intravenous administration of levobupivacaine in the postoperative period
- Authors: Leonoff A.A.1, Koriachkin V.A.2, Zabolotskii D.V.2
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Affiliations:
- Rostov Regional Hospital of Phthisiopneumology
- Saint-Petersburg State Pediatric Medical University of the Ministry of Healthcare of the Russian Federation
- Issue: Vol 13, No 1-4 (2019)
- Pages: 27-30
- Section: Case report
- URL: https://journals.rcsi.science/1993-6508/article/view/43862
- DOI: https://doi.org/10.17816/1993-6508-2019-13-1-4-27-30
- ID: 43862
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Abstract
Levobupivacin was introduced into clinical practice as a drug with a low risk of complications from the cardiovascular and central nervous system. The purpose of the report is to present a case of unintentional intravenous administration of levobupivacaine with epidural analgesia. After vertebral surgery, the patient was mistakenly injected with 10 ml of a 0.5% solution of levobupivacaine. Clinically, systemic toxicity was manifested only in mild euphoria. After lipid resuscitation, the patient’s condition improved. Despite the successful outcome of the clinical case, the anesthesiologist must always have the means to carry out lipid resuscitation. Education of nurses on epidural drug administration is required. The issue of transporting patients with an epidural catheter to a specialist ward needs further discussion.
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##article.viewOnOriginalSite##About the authors
A. A. Leonoff
Rostov Regional Hospital of Phthisiopneumology
Author for correspondence.
Email: leonoff0582@gmail.com
anesthesiologist
Russian Federation, 344065, RostovV. A. Koriachkin
Saint-Petersburg State Pediatric Medical University of the Ministry of Healthcare of the Russian Federation
Email: leonoff0582@gmail.com
ORCID iD: 0000-0002-3400-8989
Russian Federation, St. Petersburg, 194100
D. V. Zabolotskii
Saint-Petersburg State Pediatric Medical University of the Ministry of Healthcare of the Russian Federation
Email: leonoff0582@gmail.com
ORCID iD: 0000-0002-6127-0798
Russian Federation, St. Petersburg, 194100
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