International Journal of Obstetric Anesthesia
Volume 15, Issue 1 , Pages 63-67, January 2006

Inadvertent administration of magnesium sulfate through the epidural catheter: report and analysis of a drug error

  • E.J. Goodman

      Affiliations

    • Corresponding Author InformationCorrespondence to: Dr. Evan Goodman, 3725 Severn Road, Cleveland Heights, OH 44118. Tel.: +216 844 5300; fax: +216 844 3815.
    • ,
  • A.J. Haas
    • ,
  • G.S. Kantor

Department of Anesthesiology, Case Western Reserve University School of Medicine and University Hospitals of Cleveland, Ohio, USA

Accepted 1 June 2005.

Summary 

We present two reports of pregnant women in labor who inadvertently received a magnesium sulfate solution in their epidural space. Both women received approximately 9 mg of magnesium sulfate, and neither of them demonstrated any signs or symptoms of focal neurological toxicity. Once the mistakes were discovered and appropriate medication was delivered, the patients attained an acceptable level of analgesia.

Keywords: Drug error, Inadvertent, Epidural, Magnesium sulfate

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PII: S0959-289X(05)00101-9

doi:10.1016/j.ijoa.2005.06.009

International Journal of Obstetric Anesthesia
Volume 15, Issue 1 , Pages 63-67, January 2006

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