Infusión errónea de paracetamol por vía epidural

Inadvertent epidural ampicillin administration during labor: case report

“…However, after inadvertent administration of a drug, there is no definitive or effective treatment, only several indications based on other clinical cases to reduce the potential complications. 1 , 3 , 4. , 5 Some opt for watchful waiting, with patient observation and, if necessary, symptomatic or supportive treatment.…”

“…, 5 Some opt for watchful waiting, with patient observation and, if necessary, symptomatic or supportive treatment. 4 Others recommended the administration of an antidote via the intravenous route like naloxone for opioids. 3 In an attempt to decrease the volume and/or concentration of the drug administered erroneously, in some cases, the options were aspiration through the epidural catheter, administration of saline solution or other drugs, and the placement of a second catheter to perform epidural space washes.…”

“… 1 , 2 , 3 Complications are mainly neurological, such as paraplegia, sensory alterations and urinary incontinence. 3 , 4. …”

“…The incidence of this error is underestimated. 3 , 4. Several drugs have been accidentally administered through epidural catheter and most of our knowledge is based on case reports.…”

Medication errors in delivery room

“…We would like to refer to a case that happened at our obstetric department to highlight the importance of analyzing and communicating the adverse incidents that occur in our daily practice, where anesthesiology has become a pioneering specialty. [ 1 ]…”