Epinephrine-Induced Acute Pulmonary Edema during Septoplasty
Soonchunhyang Medical Science
;
: 105-109, 2018.
Article
in Korean
| WPRIM
| ID: wpr-714891
ABSTRACT
Epinephrine is used with lidocaine to provide bloodless surgical field and to prolong the action of local anesthetics. But epinephrine also has many adverse reactions, such as agitation, restlessness, headache, tachycardia, hypertension, and some significantly more dangerous conditions including myocardial ischemia, ventricular arrhythmia, cerebral hemorrhage and pulmonary edema, cardiac arrest, etc. We have experienced epinephrine-induced acute pulmonary edema due to submucosal intranasal application of epinephrine soaked gauze during septoplasty. The patient was successfully treated in intensive care unit with positive pressure ventilation, diuretics, and inotropic support. He was extubated after 5 hours and discharged after 7 days without any complications.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arrhythmias, Cardiac
/
Psychomotor Agitation
/
Pulmonary Edema
/
Tachycardia
/
Epinephrine
/
Cerebral Hemorrhage
/
Positive-Pressure Respiration
/
Myocardial Ischemia
/
Dihydroergotamine
/
Diuretics
Limits:
Humans
Language:
Korean
Journal:
Soonchunhyang Medical Science
Year:
2018
Type:
Article
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