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

P3911

Sigma-Aldrich

Potassium chloride, ACS reagent, 99.0-100.5%

P4504

Sigma-Aldrich

Potassium chloride, ReagentPlus^®, ≥99.0%

12636

Sigma-Aldrich

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

60130

Sigma-Aldrich

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

24-5550

Sigma-Aldrich

Potassium standard solution, suitable for atomic absorption spectrometry, 1000 ppm K⁺, 1 mg/mL K⁺

24-4325

Sigma-Aldrich

Potassium chloride solution, 0.01 M

60128

Sigma-Aldrich

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

60126

Sigma-Aldrich

Potassium chloride, tested according to Ph. Eur.

451029

Sigma-Aldrich

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

449989

Sigma-Aldrich

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

60134

Supelco

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

60136

Supelco

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

60138

Supelco

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

60142

Sigma-Aldrich

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

58221

Supelco

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

60137

Supelco

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

409316

Sigma-Aldrich

Potassium chloride, 99.999% trace metals basis

204099

Sigma-Aldrich

Potassium chloride, ≥99.99% trace metals basis

B5274

Supelco

Bupivacaine hydrochloride monohydrate, analytical standard, for drug analysis

P9541

Sigma-Aldrich

Potassium chloride, for molecular biology, ≥99.0%

P5405

Sigma-Aldrich

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

P9327

Sigma-Aldrich

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

P9333

Sigma-Aldrich

Potassium chloride, BioXtra, ≥99.0%

60135

Supelco

Potassium chloride solution, BioUltra, ~3 M in H₂O

PHR1128

Supelco

Bupivacaine hydrochloride, Pharmaceutical Secondary Standard; Certified Reference Material