Related Experiment Video
Updated: May 4, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
[Inadvertent epidural infusion of paracetamol]
L M Charco Roca1, V E Ortiz Sánchez1, A L del Pino Moreno1
1Servicio de Anestesiología y Reanimación, Hospital Virgen del Castillo, Yecla, Murcia, España.
Abstract:
A 45-year-old woman was accidentally administered an epidural infusion of paracetamol instead of levobupivacaine for postoperative pain therapy during the postoperative period of abdominal hysterectomy under general anesthesia combined with epidural analgesia. The patient had no neurological symptoms at any time, although a slight tendency to arterial hypotension that did not require treatment was observed. No rescue analgesia was necessary until 8h after the start of epidural infusion. The incidence of these types of errors is probably underestimated, although there are several cases reported with various drugs.
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