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

24-4325

Sigma-Aldrich

Potassium chloride solution, 0.01 M

24-5550

Sigma-Aldrich

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

P5405

Sigma-Aldrich

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

P9541

Sigma-Aldrich

Potassium chloride, for molecular biology, ≥99.0%

60128

Sigma-Aldrich

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

60126

Sigma-Aldrich

Potassium chloride, tested according to Ph. Eur.

60137

Supelco

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

60142

Sigma-Aldrich

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

60138

Supelco

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

60135

Supelco

Potassium chloride solution, BioUltra, ~3 M in H₂O

60136

Supelco

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

60134

Supelco

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

449989

Sigma-Aldrich

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

451029

Sigma-Aldrich

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

204099

Sigma-Aldrich

Potassium chloride, ≥99.99% trace metals basis

409316

Sigma-Aldrich

Potassium chloride, 99.999% trace metals basis

B5274

Supelco

Bupivacaine hydrochloride monohydrate, analytical standard, for drug analysis

P9333

Sigma-Aldrich

Potassium chloride, BioXtra, ≥99.0%

58221

Supelco

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

P9327

Sigma-Aldrich

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

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)

PHR1128

Supelco

Bupivacaine hydrochloride, Pharmaceutical Secondary Standard; Certified Reference Material