Subarachnoid lavage following inadvertent intrathecal injection of tranexamic acid

Authors

  • Salahu D Department of Anaesthesia, Aminu Kano Teaching Hospital, Kano, Nigeria
  • Abdullahi MM Department of Anaesthesia, Aminu Kano Teaching Hospital, Kano, Nigeria
  • Abdullahi H Department of Obstetrics and Gynaecology, Aminu Kano Teaching Hospital Kano, Nigeria
  • Adeleke N Federal Medical Centre, Nguru, Yobe State, Nigeria
  • Adesope S Department of Anaesthesia, Aminu Kano Teaching Hospital, Kano, Nigeria
  • Aliyu LD Department of Obstetrics and Gynaecology, Aminu Kano Teaching Hospital Kano, Nigeria
  • Hassan MM Department of Anaesthesia, Aminu Kano Teaching Hospital, Kano, Nigeria
  • Alhassan DM Department of Anaesthesia, Aminu Kano Teaching Hospital, Kano, Nigeria
  • Mamuda A Department of Anaesthesia, Aminu Kano Teaching Hospital, Kano, Nigeria
  • Abdurrahman A Department of Anaesthesia, Aminu Kano Teaching Hospital, Kano, Nigeria
  • Adamu SM Department of Anaesthesia, Aminu Kano Teaching Hospital, Kano, Nigeria
  • Mohammed AM Department of Anaesthesia, Aminu Kano Teaching Hospital, Kano, Nigeria
  • Ahmed AI Department of Anaesthesia, Aminu Kano Teaching Hospital, Kano, Nigeria
  • Sadiq GU Department of Anaesthesia, Aminu Kano Teaching Hospital, Kano, Nigeria
  • Alfa AM Department of Anaesthesia, Aminu Kano Teaching Hospital, Kano, Nigeria
  • Usman NM Department of Anaesthesia and Intensive Care, Abubakar Tafawa Balewa Teaching Hospital, Bauchi, Nigeria
  • Takai UI Department of Obstetrics and Gynaecology, Aminu Kano Teaching Hospital Kano, Nigeria

DOI:

https://doi.org/10.61386/imj.v15i3.277

Abstract

Tranexamic acid (TXA) is a commonly used antifibrinolytic drug during surgical procedures to reduce blood loss. An Inadvertent intrathecal injection of TXA may lead to serious side effects including seizures and ventricular fibrillation with reported fatalities. We report a case of an inadvertentintrathecal injection of TXA which occurred as a result of similarities in appearance between TXA and heavy bupivacaine ampoules. The patient had subarachnoid lavage after experiencing back pain, systemic hypertension followed by generalized tonic clonic seizures.

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Published

01-09-2022

Issue

Vol. 15 No. 3 (2022)

Section

Articles

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Copyright (c) 2022 Salahu D, Abdullahi MM, Abdullahi H, Adeleke N, Adesope S, Aliyu LD, Hassan MM, Alhassan DM, Mamuda A, Abdurrahman A, Adamu SM, Mohammed AM, Ahmed AI, Sadiq GU, Alfa AM, Usman NM, Takai UI

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This work is licensed under a Creative Commons Attribution 4.0 International License.