Document Detail

Accidental intracerebroventricular injection of anaesthetic drugs during induction of general anaesthesia.
MedLine Citation:
PMID:  17090244     Owner:  NLM     Status:  MEDLINE    
A 51-year-old patient scheduled for surgery under general anaesthesia was accidentally given remifentanil 150 microg and propofol 1% 10 ml through an intracerebroventricular totally implantable access port placed in the right infraclavicular region, which was mistakenly thought to be an intravenous line. Severe pain in the head and neck caused the mistake to be discovered rapidly, and 20 ml of a mixture of cerebrospinal fluid and the anaesthetic drugs were aspirated from the implantable access port. The patient suffered no apparent adverse neurological sequelae.
W Tiefenthaler; K Tschupik; M Hohlrieder; W Eisner; A Benzer
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  61     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-11-08     Completed Date:  2007-02-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  1208-10     Citation Subset:  AIM; IM    
Department of Anaesthesia and Critical Care Medicine, Innsbruck Medical University, Innsbruck, Austria.
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MeSH Terms
Anesthesia, General / adverse effects
Anesthetics, Intravenous / administration & dosage,  adverse effects*
Cerebral Ventricles
Infusion Pumps, Implantable
Medication Errors*
Middle Aged
Neck Pain / etiology
Piperidines / administration & dosage,  adverse effects*
Propofol / administration & dosage,  adverse effects*
Reg. No./Substance:
0/Anesthetics, Intravenous; 0/Piperidines; 132875-61-7/remifentanil; 2078-54-8/Propofol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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