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Meel, B.
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Inadvertent intrathecal administration of potassium chloride during routine spinal anesthesia: case report | Title |
Am J Forensic Med Pathol 1998, 19(3), 255-257
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| Potassium chloride, Routes, special, Therapeutic incidents
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| During routine spinal anesthesia, an ampule of potassium chloride, instead of bupivacaine, was mistakenly opened and inadvertently administered intrathecally to a patient, resulting in pain, cramps, and death within 2.5 hours of injection. We discuss the medicolegal implications of such an error and possible preventive measures pertaining to this case. Author.
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