A Severe Complication of Accidental Epidural Administration of Glutaraldehyde

Year 2009, Volume: 2009 Issue: 1, 83 - 86, 01.01.2009

ALKIN Çolak Turan Ege CAVİDAN Arar Cavidan Arar VOLKAN Yüksel Enver Duran

Abstract

In a patient operated for left femoropopliteal bypass under epidural anesthesia, 3 ml of 3% glutaraldehyde solution was administered through the epidural catheter at the postoperative sixth hour accidentally. Following glutaraldehyde administration, the patient developed paraplegia in addition to systemic symptoms such as hypotension, tachycardia, nausea and vomiting. At the end of the first year, neurologic symptoms didn't improve despite medical treatment and rehabilitation program. Turkish Başlık: Glutaraldehidin Kazara Epidural Uygulanmasının Ağır Komplikasyonu Anahtar Kelimeler: Glutaraldehid; epidural; analjezi; parapleji Epidural anestezi altında sol femoropopliteal bypass uygulanan hastaya ameliyat sonrası altıncı saatte epidural kateter yoluyla kazara 3 ml %3 glutaraldehid solüsyonu uygulandı. Glutaraldehid uygulamasını takiben hastada hipotansiyon, taşikardi, bulantı ve kusma gibi sistemik semptomlara ek olarak parapleji gelişti. Bir yıllık medikal tedavi ve rehabilitasyon programı sonunda nörolojik semptomlarda iyileşme olmadı.

Keywords

Glutaraldehyde; epidural; analgesia; paraplegia

Glutaraldehidin Kazara Epidural Uygulanmasının Ağır Komplikasyonu

Abstract

Epidural anestezi altında sol femoropopliteal bypass uygulanan hastaya ameliyat sonrası altıncı saatte epidural kateter yoluyla kazara 3 ml %3 glutaraldehid solüsyonu uygulandı. Glutaraldehid uygulamasını takiben hastada hipotansiyon, taşikardi, bulantı ve kusma gibi sistemik semptomlara ek olarak parapleji gelişti. Bir yıllık medikal tedavi ve rehabilitasyon programı sonunda nörolojik semptomlarda iyileşme olmadı.

Keywords

Glutaraldehid, epidural, analjezi, parapleji

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