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Topical Epinephrine-soaked Gauze-induced Ventricular Tachycardia during Skin Grafting: A Case Report / 대한구급학회지
The Korean Journal of Critical Care Medicine ; : 42-46, 2009.
Artigo em Coreano | WPRIM | ID: wpr-650247
ABSTRACT
Topical epinephrine is useful to reduce bleeding during skin grafting. However, even though a clear operative field is obtained, systemic absorption of topical epinephrine can occur and this may cause severe hypertension, arrhythmias, ventricular tachycardia, myocardial ischemia, pulmonary edema, or cardiac arrest. We managed a case of cardiac arrhythmia during general anesthesia, which was induced by gauze soaked in topical epinephrine used for skin grafting of burn wounds. A 26-year-old woman developed premature ventricular complexes and ventricular tachycardia during surgery when epinephrine-soaked gauze was applied to the skin donor and burn wound sites to control oozing. The patient was resuscitated immediately and within 10 minutes the vital signs had normalized. It is recommended that caution is exercised when epinephrine-soaked gauze is applied to a large area of skin.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Arritmias Cardíacas / Edema Pulmonar / Pele / Doadores de Tecidos / Queimaduras / Epinefrina / Transplante de Pele / Taquicardia Ventricular / Isquemia Miocárdica / Complexos Ventriculares Prematuros Limite: Adulto / Feminino / Humanos Idioma: Coreano Revista: The Korean Journal of Critical Care Medicine Ano de publicação: 2009 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Arritmias Cardíacas / Edema Pulmonar / Pele / Doadores de Tecidos / Queimaduras / Epinefrina / Transplante de Pele / Taquicardia Ventricular / Isquemia Miocárdica / Complexos Ventriculares Prematuros Limite: Adulto / Feminino / Humanos Idioma: Coreano Revista: The Korean Journal of Critical Care Medicine Ano de publicação: 2009 Tipo de documento: Artigo