Acute pulmonary edema after local infiltration of epinephrine during mastoidectomy: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 462-465, 2009.
Article
in Korean
| WPRIM
| ID: wpr-62725
ABSTRACT
A mixture of local anesthetic and epinephrine provides hemostasis for ear microsurgery. However, epinephrine has adverse cardiovascular effects, such as arrhythmia, pulmonary edema, and even cardiac arrest. We have experienced catecholamine-induced cardiovascular crisis, with severe hypertension, tachycardia, and acute pulmonary edema, after subcutaneous infiltration with a 2% lidocaine and 1200,000 epinephrine solution. The patient recovered without any apparent sequelae after intensive care, including diuretics, steroids, and nitroglycerin for the hypertension and pulmonary edema, and a vasopressor for the subsequent hypotension.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arrhythmias, Cardiac
/
Pulmonary Edema
/
Steroids
/
Tachycardia
/
Epinephrine
/
Nitroglycerin
/
Critical Care
/
Diuretics
/
Ear
/
Heart Arrest
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
2009
Type:
Article
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