Inadvertent spinal injection of ondansetron

J Anesth. 2016 Dec;30(6):1071-1073. doi: 10.1007/s00540-016-2254-6. Epub 2016 Sep 27.

Abstract

Cesarean sections under spinal anesthesia are now a daily occurrence in most tertiary hospitals. We report the first published case of inadvertent spinal injection of ondansetron without any neurological sequelae in a patient undergoing elective Cesarean section under spinal anesthesia. She did not experience any permanent neurological sequelae, and also did not exhibit any central neuraxial opioid side effects-nausea, vomiting or pruritus. Vigilance is essential to reduce the risk of wrong route delivery of drugs, especially when presented in very similar-looking 2 mL ampules as in our institution.

Keywords: Anesthesia; Injection; Intrathecal; Ondansetron hydrochloride; Spinal.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Analgesics, Opioid / administration & dosage
  • Anesthesia, Spinal / methods*
  • Cesarean Section / methods*
  • Female
  • Humans
  • Injections, Spinal
  • Ondansetron / administration & dosage*
  • Ondansetron / adverse effects
  • Pregnancy

Substances

  • Analgesics, Opioid
  • Ondansetron