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Organic chemistry / Vecuronium bromide / Atracurium besilate / Tubocurarine chloride / Neuromuscular-blocking drug / Pharmaceutical drug / Mivacurium chloride / Suxamethonium chloride / Pharmacy / Chemistry / Muscle relaxants / Quaternary ammonium compounds


ISMP Canada where NMBA medication incidents occur, they can provide valuable lessons for enhancing NMBA safety. The following cases are provided to increase awareness of potential systembased failures.
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Document Date: 2009-08-07 11:27:34


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City

Washington / DC / /

Company

ISMP Canada Safety Bulletin / /

Country

United States / Canada / /

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Event

Product Issues / /

Facility

American College of Critical Care Medicine / American College of Chest Physicians / American College of Chest / References American College of Critical Care Medicine / Have pharmacy / /

IndustryTerm

drug product / healthcare / safety solutions / pharmaceuticals / alternate manufacturer / highleverage error prevention tools / /

MedicalCondition

hepatitis B / acute quadriplegic myopathy syndrome / severe permanent injury / respiratory and skeletal muscle paralysis / respiratory and cardiac arrest / error-induced injury / permanent injury / respiratory distress / /

MedicalTreatment

medication errors / antibiotics / mechanical ventilation / Medication error / /

Organization

American College of Critical Care Medicine / American Society of Anesthesiologists / Canadian Anesthesiologists’ Society / American College of Chest Physicians / Institute for Safe Medication Practices / Society of Critical Care Medicine / American Society of Health-System Pharmacists / USP Advisory Panel on Medication Errors / American College of Chest / American Pharmaceutical Association / Summary Inadvertent administration / /

Person

Christine Koczmara / Valentina Jelincic / /

/

Position

emergency room physician / pharmacist / anesthesiologist / physician / ED nurse / pharmacy and management consultant and medical writer / technician / co-worker / bedside nurse in an intensive care unit / drug representative / ICU nurse / nurse / analyst / reporter / /

Product

potassium chloride / Safe Medication / Tracrium / Quelicin / Nimbex / NMBA medication / naloxone / Pancuronium / metronidazole / NARCAN / Pavulon / Prevention strategies Medication / ISMP Medication / Mivacron / NORCURON / conditions / /

PublishedMedium

Critical Care Medicine / /

Technology

alpha / /

URL

http /

SocialTag