Accidental Intra Arterial Injection of Ephedrine: What about the Treatment with Nitroglycerin?

Sergeja Kozar and Goran Kur

Abstract

Accidental intra-arterial (IA) injection of drugs in the perioperative setting is fortunately a rare event, but it can cause severe extremity ischaemia, which can result in significant morbidity due to tissue necrosis. There have been many articles reported about inadvertent intra-arterial injections of various drugs over the last decades. However, we found none about the unintentional IA injection of ephedrine, so we present the following case.