The adverse effects of inadvertent intraoperative intravenous phenylephrine administration: A case report

  • KO Enohumah
  • H Immanuel
  • R Whitty
  • J Connolly

Abstract

Inadvertent intravenous injection of 1% phenylephrine (10 mg) induced severe hypertension and tachycardia in a previously healthy female patient undergoing elective gynaecological surgery. This medical error was investigated using the criticalincident technique that is available in our department. This case report highlights the cardiovascular sequelae of phenylephrine overdose and the human factor that is associated with a medication error. We discuss these two factors, as well as the organisational factors that contributed to this medical error, in order to prevent its  recurrence.
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Articles

Journal Identifiers


eISSN: 2220-1173
print ISSN: 2220-1181