Leg ischaemia in an infant following accidental intra‐arterial administration of atracurium treated with caudal anaesthesia

Kessell, G.

doi:10.1111/j.1365-2044.1996.tb15056.x

Cited by 26 publications

(10 citation statements)

References 15 publications

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“…31---33 Clear ischemic appearance and gangrene have been reported after intra-arterial administration of atracurium and tubocurarine, used in anesthesia as neuromuscular blockers. 34,35 In addition to these catastrophic results, more moderate progression after intra-arterial administrations is found. Different results are reported for different paracetemol preparations.…”

Section: Discussionmentioning

confidence: 93%

Evaluation of the effects of intra-arterial sugammadex and dexmedetomidine: an experimental study

Hancı

Özbılgın

Özbal

et al. 2016

Brazilian Journal of Anesthesiology (English Edition)

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Section: Discussionmentioning

confidence: 93%

Evaluation of the effects of intra-arterial sugammadex and dexmedetomidine: an experimental study

Hancı

Özbılgın

Özbal

et al. 2016

Brazilian Journal of Anesthesiology (English Edition)

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“…According to reports, high-dose intravenous injection of atracurium causes seizure (19). Also, it has been reported that intra-arterial injection of atracurium causes marked ischemic appearance which is resolved with sympatholytic caudal block (22).…”

Section: Discussion and Review Of Literaturementioning

confidence: 99%

Inadvertent Subcutaneous Injection of Atracurium During Circumcision Operation

2019

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Introduction: Neuromuscular blocking agents relax skeletal muscles relaxation operation or mechanical ventilation. Accidental injection of these agents is a medical error which can lead to a minor sequel or devastating complications. We report an inadvertent subcutaneous injection of atracurium in circumcision operation and also briefly review the international databases related to the reported case. Case Presentation: A two month-old infant was scheduled for circumcision under local anesthesia. Five minutes after subcutaneous injection of atracurium instead of lidocaine for local anesthesia, the patient developed respiratory apnea, cyanosis, muscle relaxation, and bradycardia. Then the patient was intubated and transferred to the Neonatal Intensive Care Unit (NICU) to receive supportive care and kept under follow up. After taking supportive and therapeutic cares, there was no complication. The patient, after complete recovery, was discharged without any problems. Conclusion: Despite all efforts to prevent medical errors, they can happen. Reporting these cases highlights the importance of early diagnosis of errors, correcting therapeutic interventions, and delivering accurate management of conditions for control and elimination of symptoms and complications.

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“…Patients will often require substantial amounts of pain medication during their hospital stay. Many case series have reported that extremity sympatholysis often provides substantial pain relief as well as improves other symptoms by blocking reflex vasoconstriction (14,18). In addition, anticoagulants such as heparin, low molecular-weight dextran infusions for volume expansion, and corticosteroids have long been reported as staples of initial therapy (6,14,19).…”

Section: Treatmentmentioning

confidence: 98%