( Can J Anesth/J Can Anesth. (2023) 70:811–816) This editorial refers to a recent case published by Dr Pysyk and Dr Filteau describing an inadvertent administration of tranexamic acid into the epidural space. The authors of the editorial discuss this case involving a medication error and propose mechanisms to prevent similar errors in the future. While the error was recognized and managed without immediate adverse effects, the potential for catastrophic consequences was highlighted.
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Orser et al. (2024) studied this question.
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