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Acute pulmonary edema after local infiltration of epinephrine during mastoidectomy - A case report -

Other Title
꼭지돌기절제술 시 Epinephrine 국소 침윤에 의한 급성 폐부종 - 증례보고 -
Authors
장, 영진; 민, 상기; 유, 지영; 김, 종엽
Citation
Korean journal of anesthesiology, 56(4):462-465, 2009
Journal Title
Korean journal of anesthesiology
ISSN
2005-64192005-7563
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 1:200,000 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.
Keywords
EpinephrineMastoidectomyPulmonary edema
DOI
10.4097/kjae.2009.56.4.462
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Anesthesiology & Pain Medicine
AJOU Authors
민, 상기김, 종엽
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