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Medication error report: Intrathecal administration of labetalol during obstetric anesthesia.

Authors :
Laha B
Hazra A
Source :
Indian journal of pharmacology [Indian J Pharmacol] 2015 Jul-Aug; Vol. 47 (4), pp. 456-8.
Publication Year :
2015

Abstract

Labetalol, a combined alfa and beta-adrenergic receptor antagonist, is used as an antihypertensive drug. We report a case of an acute rise in blood pressure and lower limb pain due to the inadvertent intrathecal administration of labetalol, mistaking it for bupivacaine, during obstetric anesthesia. The situation was rescued by converting to general anesthesia. The cesarean delivery was uneventful, and mother as well as newborn child showed no ill-effect. This particular medication error was attributable to a failure on the part of the doctors administering the injection to read and cross-check medication labels and the practice of keeping multiple injections together. In the absence of an organized medication error reporting system and action on that basis, such events may recur in future.

Details

Language :
English
ISSN :
1998-3751
Volume :
47
Issue :
4
Database :
MEDLINE
Journal :
Indian journal of pharmacology
Publication Type :
Academic Journal
Accession number :
26288484
Full Text :
https://doi.org/10.4103/0253-7613.161278