Hi,

Following a transcription error in the pharmacy system, a rarely prescribed ropivacaine/fentanyl epidural with epinephrine was prepared and administered instead of the regular preparation without epinephrine, which could have contributed to the patient's variation in her blood pressure during the administration. We decided to withdraw this presentation from the selection as we concluded that the cause of the error was related to an obsolete/unnecessary formula in our system. Essentially the epinephrin is added to apparently boost the effect of the epidural, and the anesthesists insist that there is a need for it, but we are not convinced that the benefit outweight the risk here.

We would be grateful to those of you who analyzed this risk and would like to share your conclusion with us.

Thanks.