Reham Elkhateeb* and Hany H Kamel
Department of Obstetrics and Gynecology, Minia University, Al Minya, EgyptFulltext PDF
Objective: Draw attention for risk factors of drug error fatal mistakes that jeopardize patient life. Case
Presentation: In this study we presented a fatal drug error, intrathecal injection of tranexamic acid before caesarean section which leaded to neurotoxicity and repeated seizures, complicated by ventricular fibrillation and maternal mortality.
Conclusion: We should emphasize true drug for true patient by right method of administration especially in drugs that can easily endanger patient safety, legal rules should play a role to avoid repeated mistakes.
Tranexamic acid; Spinal anesthesia, Patient safety
Elkhateeb R, Kamel HH. Intrathecal Injection of Tranexamic Acid during Caesarean Section: Accidental Fatal Mistake. J Clin Obstet Gynecol Infertil. 2017; 1(3): 1014.