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Anesth Analg 2000;91:1550-1551
© 2000 International Anesthesia Research Society

CASE REPORTS

Accidental Epidural Injection of Vecuronium

Georgia Kostopanagiotou, MD, PhD, Maria Mylona, MD, Lina Massoura, MD, and Ioanna Siafaka, MD, PhD

Department of Anesthesiology, Aretaieion Hospital, Medical School, University of Athens, Athens, Greece

Address correspondence and reprint requests to Georgia Kostopanagiotou, MD, PhD, 2 Florinis Str, Vrilissia, Athens, GR-15 235, Greece. Address e-mail to narkado{at}otenet.gr

Implications: We report a case of accidental epidural injection of vecuronium in a female patient who underwent hemorrhoidectomy using epidural anesthesia. Because epidural injection of muscle relaxants may have serious side effects, immediate establishment of airway protection, monitoring of muscle relaxation, and follow-up for clinical signs of neurotoxicity are recommended.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2000 by the International Anesthesia Research Society.