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An event is serious (based on the ICH definition) when the patient outcome is:
* congenital anomaly
* other medically important event
A 32-year-old woman developed chronic adhesive arachnoiditis (CAA) and radiculopathy following erroneous administration of chlorhexidine/isopropyl alcohol (instead of the epidural anaesthesia) into the epidural space for pain management during her labour [dosages not stated].
The primigravida woman presented with early labour in mid-2010. She was posted for epidural anaesthesia for pain management. While conducting the procedure, lightly tinted chlorhexidine/isopropyl alcohol [2% chlorhexidine in 70% alcohol] was kept into a metal pot to preform asepsis of the back. Sterile sodium-chloride [saline] was also kept into a second metal pot. Asepsis of the back was performed with a swab soaked in chlorhexidine/isopropyl alcohol. During the first attempt, the epidural catheter was...