Cardiovascular crisis after small dose local infiltration of epinephrine in patient with asymptomatic subarachnoid hemorrhage: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: S53-S57, 2010.
Article
in English
| WPRIM
| ID: wpr-44806
ABSTRACT
The infiltration of dilute epinephrine solution has been used for many years to provide hemostasis. However, epinephrine has adverse cardiovascular effects, such as arrhythmia, pulmonary edema, and even cardiac arrest. We have experienced epinephrine-induced cardiovascular crisis, with severe hypertension, tachycardia, and cardiac arrest after subcutaneous infiltration of a 2% lidocaine and 1 200,000 epinephrine solution in a patient with an asymptomatic subarachnoid hemorrhage. We provided successfully advanced cardiac life support in the operating room and cardioverted the patient back into a sinus rhythm with no untoward effects. The patient recovered without any apparent sequelae after intensive care.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Operating Rooms
/
Arrhythmias, Cardiac
/
Pulmonary Edema
/
Subarachnoid Hemorrhage
/
Tachycardia
/
Epinephrine
/
Critical Care
/
Advanced Cardiac Life Support
/
Heart Arrest
/
Hemostasis
Limits:
Humans
Language:
English
Journal:
Korean Journal of Anesthesiology
Year:
2010
Type:
Article
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