The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Inadvertent Epidural Injection of Vancomycin -A case report-

경막외강내 우발적 Vancomycin 투여에 의한 임상경과 1예

  • Kim, Myoung-Ok (Department of Anesthesiology Yonsei University College of Medicine) ;
  • Yoon, Duck-Mi (Department of Anesthesiology Yonsei University College of Medicine) ;
  • Oh, Hung-Kun (Department of Anesthesiology Yonsei University College of Medicine)
  • 김명옥 (연세대학교 의과대학 마취과학교실) ;
  • 윤덕미 (연세대학교 의과대학 마취과학교실) ;
  • 오흥근 (연세대학교 의과대학 마취과학교실)
  • Published : 1992.05.23
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Abstract

A 37-year-old male was admitted for left chest pain during a 6 months period and was given an epidural block for pain control. Vancomycin 500 mg/4 ml instead of 0.25% bupivacaine was accidentaly injected into the epidural space. The patient suddenly complained of an unexpected chest tightness and dyspnea after epidural injection. The patient was treated with steroids and local anesthetics via epidural space and recovered without any neurologic sequelae. The patient completely recovered on the 46th postadmission day and went home without any complaints. We report this case and review the accidental injection of substances into the epidural space.

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