Acute pulmonary edema due to phenylephrine injection in patient receiving long-term beta-blocker therapy: A case report.
10.4097/kjae.2009.57.2.242
- Author:
Hyung Tae KIM
1
;
In Su JANG
;
Seon Kyeong AN
Author Information
1. Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center, Jeonju, Korea. ingwei@nate.com
- Publication Type:Case Report
- Keywords:
Beta-blocker;
Phenylephrine;
Pulmonary edema
- MeSH:
Absorption;
Anesthesia;
Anesthetics, Local;
Arrhythmias, Cardiac;
Blood Pressure;
Cardiopulmonary Resuscitation;
Decompressive Craniectomy;
Female;
Hemorrhage;
Humans;
Hypertension;
Intracranial Hemorrhages;
Liver Cirrhosis;
Middle Aged;
Phenylephrine;
Portal Pressure;
Pulmonary Edema;
Vasoconstriction
- From:Korean Journal of Anesthesiology
2009;57(2):242-245
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
During administration of anesthesia, intraoperative blood pressure control is very important. Sometimes a hypertensive or anti-hypertensive agent is used in order to maintain blood pressure at an adequate level; alpha-agonist and beta-blocker are drugs frequently used. Alpha-agonists are used in various ways including their application together with local anesthetics during an operation for the purpose of vasoconstriction, to control systemic absorption of local anesthetics, to extend the duration of action, or to reduce bleeding from the surgical site. In addition, alpha-agonists are used in cardiopulmonary resuscitation. Beta-blockers are used widely as a therapeutic agent for hypertension, angina, and arrhythmia, and to lower portal pressure in liver cirrhosis. Here, we are reporting the case of acute pulmonary edema that occurred after the administration of phenylephrine, in order to maintain blood pressure in a 52-year-old female patient with liver cirrhosis. The patient was underwent emergent decompressive craniectomy for intracranial hemorrhage without acknowledging her long-term use of a beta-blocker medication.
