Anesthesia Experts

Unintentional epidural injection of 88 μg·kg(-1) of epinephrine

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Published in Paediatr Anaesth. 2014 Nov;24(11):1185-7

Authors: August DA et al

We report the effects of 88 μg·kg(-1) of epinephrine (1:10,000) injected into the caudal epidural space of a 42-week postconceptual age infant. No long-term neurological or cardiovascular sequelae occurred.

Noninvasive cardiac output (CO) monitoring revealed increased CO, contractility, and stroke volume for about an hour, accompanied by a reduction in peripheral vascular resistance and a modest increase in pulse and blood pressure.

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