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Accidental spinal potassium chloride injection successfully treated with spinal lavage.

Accidental spinal potassium chloride injection successfully treated with spinal lavage.

Anaesthesia (2013-11-15)

J Dias, N Lages, A Marinho, L Maria, J Tinoco, D Vieira, C Correia

ABSTRACT

We describe the management of a 62-year-old man who developed severe pain, cramps, paraplegia and pulmonary oedema after the accidental administration of potassium chloride into the subarachnoid space. In addition to supportive treatment, we performed cerebrospinal fluid lavage with saline 0.9%. The patient recovered well without any permanent injury.

MATERIALS

Product Number

Brand

Product Description

Sigma-Aldrich

Potassium chloride, Vetec^™, reagent grade, 99%

Sigma-Aldrich

Potassium chloride, for molecular biology, ≥99.0%

Sigma-Aldrich

Potassium chloride, AnhydroBeads^™, −10 mesh, 99.99% trace metals basis

Sigma-Aldrich

Potassium chloride, BioUltra, for molecular biology, ≥99.5% (AT)

Sigma-Aldrich

Potassium chloride, ≥99.99% trace metals basis

Sigma-Aldrich

Potassium chloride, 99.999% trace metals basis

Sigma-Aldrich

Potassium chloride, AnhydroBeads^™, −10 mesh, 99.999% trace metals basis

Sigma-Aldrich

Potassium chloride solution, BioUltra, for molecular biology, ~1 M in H₂O

Sigma-Aldrich

Potassium chloride, BioXtra, ≥99.0%

Sigma-Aldrich

Potassium chloride, puriss. p.a., ≥99.5% (AT)

Sigma-Aldrich

Potassium chloride, puriss., meets analytical specification of Ph. Eur., BP, USP, FCC, E508, 99-100.5% (AT), ≤0.0001% Al

Sigma-Aldrich

Potassium chloride, ReagentPlus^®, ≥99.0%

Sigma-Aldrich

Potassium chloride, ACS reagent, 99.0-100.5%

Supelco

Bupivacaine hydrochloride monohydrate, analytical standard, for drug analysis

Supelco

Potassium chloride solution, conductance standard B acc. to ISO 7888, 0.01 M KCl

Supelco

Potassium chloride solution, conductance standard A acc. to ISO 7888, 0.1 M KCl

Supelco

Potassium chloride solution, conductance standard C acc. to ISO 7888, 0.001 M KCl

Sigma-Aldrich

Potassium chloride, tested according to Ph. Eur.

Supelco

Potassium chloride solution, for Ag/AgCl electrodes, ~3 M KCl, saturated with silver chloride

Supelco

Potassium chloride solution, BioUltra, ~3 M in H₂O

Supelco

ISA (ionic strength adjustment solution: 1 M KCl), 1 M KCl

Sigma-Aldrich

Potassium chloride solution, 0.075 M, sterile-filtered, BioXtra, suitable for cell culture

Sigma-Aldrich

Potassium chloride, powder, BioReagent, suitable for cell culture, suitable for insect cell culture, ≥99.0%

Supelco

Bupivacaine hydrochloride, Pharmaceutical Secondary Standard; Certified Reference Material