Epidural anesthesia needle, what are the consequences of calcium gluconate accidentally entering the spinal canal

Intraconical anesthesia medication error is a rare but serious incident that has been relatively unreported, and has been rarer in recent years. I have seen a case where the epidural was mistakenly given calcium gluconate. Like other cases of wrong epidural administration, the first manifestation was that the anesthesia level could not be detected (of course), and there was obvious pain in the back. Anesthesia and surgery were normal after lidocaine, and there were no other postoperative complications.

But this is only calcium gluconate, if it is other drugs, it may have different consequences due to the distribution and absorption of the drug. Generally speaking, the consequences of epidural errors may be relatively minor, but if it is a subarachnoid medication error, it is very serious. There are many reports of rapid arrhythmia leading to respiratory and cardiac arrest, or severe neurological complications, the prognosis is poor.

This situation usually turns into a medical malpractice (as the result is usually death or disability), so care must be taken in day-to-day work.

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