Accidental intravenous administration of levobupivacaine in the postoperative period

Levobupivacin was introduced into clinical practice as a drug with a low risk of complications from the cardiovascular and central nervous system. The purpose of the report is to present a case of unintentional intravenous administration of levobupivacaine with epidural analgesia. After vertebral surgery, the patient was mistakenly injected with 10 ml of a 0.5% solution of levobupivacaine. Clinically, systemic toxicity was manifested only in mild euphoria. After lipid resuscitation, the patients condition improved. Despite the successful outcome of the clinical case, the anesthesiologist must always have the means to carry out lipid resuscitation. Education of nurses on epidural drug administration is required. The issue of transporting patients with an epidural catheter to a specialist ward needs further discussion.</jats:p