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Cardiomyopathy after local infiltration or application of epinephrine for plastic surgery under general anesthesia : Two cases report / 대한마취과학회지
Korean Journal of Anesthesiology ; : 725-728, 2009.
Artículo en Coreano | WPRIM | ID: wpr-124705
ABSTRACT
Catecholamine-induced cardiomyopathy rarely occurs after local epinephrine infiltration. We experienced two patients with catecholamine induced cardiomyopathies. An 8-yr-old girl was scheduled for closed reduction of a nasal bone fracture. Propofol and rocuronium bromide were used for induction of anesthesia. After induction, lidocaine mixed with epinephrine was infiltrated to the block of supratrochlear and infraorbital nerves. About 10 sec later ventricular tachycardia, hypotension, hypoxemia, and pulmonary edema developed. The other case was a 23-yr-old woman with a nasal bone fracture. Propofol, rocuronium bromide, and fentanyl were used for the induction of anesthesia. After induction, epinephrine-containing wet gauze was packed in the nasal cavity for mucosal shrinkage. About 1 minute later, hypertension, tachycardia, and hypoxemia developed. After each operation, a transthorcic echo-cardiogram revealed hypokynesia of the myocardium.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Edema Pulmonar / Cirugía Plástica / Taquicardia / Epinefrina / Propofol / Fentanilo / Taquicardia Ventricular / Hipertensión / Hipotensión / Androstanoles Límite: Femenino / Humanos Idioma: Coreano Revista: Korean Journal of Anesthesiology Año: 2009 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Edema Pulmonar / Cirugía Plástica / Taquicardia / Epinefrina / Propofol / Fentanilo / Taquicardia Ventricular / Hipertensión / Hipotensión / Androstanoles Límite: Femenino / Humanos Idioma: Coreano Revista: Korean Journal of Anesthesiology Año: 2009 Tipo del documento: Artículo