Inadvertent Subcutaneous Injection of Atracurium During Circumcision Operation
Publish place: Journal of Pediatrics Review، Vol: 8، Issue: 1
Publish Year: 1398
نوع سند: مقاله ژورنالی
زبان: English
View: 86
This Paper With 6 Page And PDF Format Ready To Download
- Certificate
- من نویسنده این مقاله هستم
استخراج به نرم افزارهای پژوهشی:
شناسه ملی سند علمی:
JR_JPRE-8-1_007
تاریخ نمایه سازی: 9 آذر 1402
Abstract:
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.
Keywords:
Authors
Hooshang Akbari
Department of Anesthesiology, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
Anahita Ghahremani-Chabok
Department of anesthesiology, School of Paramedicine, Mazandaran University of Medical Sciences, Sari, Iran
Seyed Abdollah Mousavi
Department of Pediatric, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
مراجع و منابع این Paper:
لیست زیر مراجع و منابع استفاده شده در این Paper را نمایش می دهد. این مراجع به صورت کاملا ماشینی و بر اساس هوش مصنوعی استخراج شده اند و لذا ممکن است دارای اشکالاتی باشند که به مرور زمان دقت استخراج این محتوا افزایش می یابد. مراجعی که مقالات مربوط به آنها در سیویلیکا نمایه شده و پیدا شده اند، به خود Paper لینک شده اند :