Epidural medications given intravenously may result in death

Dynamics. 2007 Fall;18(3):34-6.


Anesthetics, such as bupivacaine, intended for epidural analgesia can cause severe cardio- and neurotoxicity when inadvertently administered via the intravenous route. This article highlights a case report and the dangers associated with the inadvertent administration of an epidural solution intravenously. Multiple system-based strategies for prevention are provided.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Anesthesia, Epidural*
  • Anesthesia, Obstetrical / adverse effects
  • Anesthetics, Local / administration & dosage*
  • Anesthetics, Local / adverse effects*
  • Bupivacaine / adverse effects
  • Fatal Outcome
  • Female
  • Humans
  • Infusions, Intravenous / adverse effects*
  • Medication Errors / prevention & control*
  • Medication Systems*
  • Pregnancy


  • Anesthetics, Local
  • Bupivacaine