An Accidental Intra-Arterial Injection of Phenytoin in a 43-Year-Old Woman Publisher



Khan ZH¹ ; Faghihnassiri S¹
Source: Saudi Journal of Anaesthesia Published:2016

Abstract

We report an accidental intra-arterial injection of phenytoin in a 43-year-old woman undergoing ventriculoperitoneal shunt for hydrocephalus. To flush the arterial line with heparin, mistakenly phenytoin was injected which caused cutaneous gangrene along the radial side of the forearm and an absence of pulsation in the radial artery. After flushing the artery with normal saline and lidocaine, the patient was transferred to the Intensive Care Unit. There the patient was put on intravenous heparin that resolved the problem leading to complete recovery of the patient. The case is being reported to emphasize the importance of close surveillance in injecting drugs through the arterial line access. © 2016 Saudi Journal of Anesthesia | Published by Wolters Kluwer - Medknow.