Frontiers in Medicine
Local anesthetic overdose during nurse-led epidural analgesia due to occlusion alarm misinterpretation: a case report and literature review
Rationale Epidural analgesia (EA) medication errors are rare but serious adverse events in anesthesia and pain management. Previous literature has predominantly reported errors involving drug types or routes of administration, whereas those caused by infusion devices are uncommon. This case highlights the potential hazard of dose overdose resulting from an abnormal “occlusion” alarm when using a syringe pump for EA bolus. Patient concerns A 36-year-old male with recurrent hyperlipidemic severe acute pancreatitis, t …