RESUMO
Some factors have been identified as contributing to medical errors such as labels, appearance, and location of ampules. In this case report, inadvertent intrathecal injection of 80 mg tranexamic acid was followed by severe pain in the back and the gluteal region, myoclonus on lower extremities and agitation. General anesthesia was induced to complete surgery. At the end of anesthesia, patient developed polymyoclonus and seizures needing supportive care of the hemodynamic, and respiratory systems. He developed ventricular tachycardia treated with Cordarone infusion. The patient's condition progressively improved to full recovery 2 days after. Confusion between hyperbaric bupivacaine and tranexamic acid was due to similarities in appearance between both ampules
Assuntos
Humanos , Masculino , Fibrilação Ventricular/induzido quimicamente , Injeções Espinhais/efeitos adversos , Evolução Fatal , Erros Médicos , Rotulagem de Medicamentos/normasRESUMO
A retrospective study realised over 10 years in the orthopaedic unit of the children's hospital of Tunis allowed to collect 206 cases of osteomyelitis and arthritis in infant [3 months - 3 years old]. In 74.6% of the cases, infection involved the joint. There is a single focus of the infection in 92.6% of the cases, more often at the lower limbs. The pathogen has been isolated in 33% of the cases. Staphylococcus aureus [52%] is the more frequent pathogen, especially in osteomyelitis. Enterobateria [16%], streptococcus [17.7%] [streptococcus pneumoniea: 10.7%], and hemophylus influenzea [5.3%] were often isolated in arthritis