Comments on “Fatal arachnoiditis following accidental intradural injection of chlorhexidine: a case report and literature review”

Key Points

• The aim is to discuss the severe outcomes of accidental intradural chlorhexidine injection and its implications for patient safety.
• Literature review of existing cases regarding chlorhexidine use in neuraxial anesthesia.
• Examination of consequences stemming from accidental intradural injections.
• Evaluation of recommendations to prevent such errors in clinical practice.
• Accidental intradural injection of chlorhexidine resulted in fatal arachnoiditis in the reported case.
• The review highlights multiple instances where similar errors have led to severe complications.
• Improvements in patient safety protocols in neuraxial anesthesia are necessary to avoid future incidents.