select ad.sno,ad.journal,ad.title,ad.author_names,ad.abstract,ad.abstractlink,j.j_name,vi.* from articles_data ad left join journals j on j.journal=ad.journal left join vol_issues vi on vi.issue_id_en=ad.issue_id where ad.sno_en='52208' and ad.lang_id='10' and j.lang_id='10' and vi.lang_id='10' Inadvert Intravenous Administration of Local Anaesthetic Dur | 52208
மயக்க மருந்து & மருத்துவ ஆராய்ச்சி

மயக்க மருந்து & மருத்துவ ஆராய்ச்சி
திறந்த அணுகல்

ஐ.எஸ்.எஸ்.என்: 2155-6148

சுருக்கம்

Inadvert Intravenous Administration of Local Anaesthetic During Labour: A Case Report

Patricia Sant’Ana Ramos1, Teresa Barreto1, Ana Paula Alves1 and Humberto S Machado1,2,3*

Introduction: Local anaesthetics are widely used in the daily practice of the anaesthesiologists. Although in most part of the times no adverse effect are observed secondary to its use, accidental intravascular injection can be related to serious consequences. The objective of this case report is to describe an accidental intravascular administration of a local anesthetic during labour epidural analgesia.

Methods: Clinical records of a complete epidural labour analgesia case were collected.

Results: During an epidural blockade for labour analgesia, local anesthetic toxicity was acutely diagnosed after a bolus dose. This epidural catheter was promptly removed. Following the parturient informed consent and will, a second epidural catheter was introduced at a different lumbar level, with a subsequent successful analgesia, with no complications registered, with a normal delivery in the due time, with no morbidities either to the mother and the newborn.

Discussion: After an incomplete success of the first bolus when the first epidural catheter has been used, a diagnostic bolus of Lidocaine showed that this catheter was actually in an intravascular space. The diagnostic was purely clinical, given the highly typical clinical signs that were observed. These signs were so clear that no other diagnostic procedure was necessary. The fact that labour analgesia was resumed after a second catheter was introduced (this time with complete success) showed a good confidence relationship between doctor and patient, which is of paramount importance during Anesthesiology practice.

Conclusions: Intravascular injection of local anaesthetics could be prevented following some safe steps. In cases when it is not primarily identified, a transparent dressing could allow observation of blood inside catheter and help to make the diagnosis.

மறுப்பு: இந்த சுருக்கமானது செயற்கை நுண்ணறிவு கருவிகளைப் பயன்படுத்தி மொழிபெயர்க்கப்பட்டது மற்றும் இன்னும் மதிப்பாய்வு செய்யப்படவில்லை அல்லது சரிபார்க்கப்படவில்லை.
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