Unexpected Pulmonary Edema Associated with an Intranasal Spray of Phenylephrine during the Induction of General Anesthesia: A case report.
10.4097/kjae.2004.47.2.273
- Author:
Hyung Sun LIM
1
;
Sang Kyi LEE
;
Ji Seon SON
Author Information
1. Department of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, Korea. LeeSK@moak.chonbuk.ac.kr
- Publication Type:Case Report
- Keywords:
beta-antagonist;
phenylephrine;
pulmonary edema
- MeSH:
Anesthesia, General*;
Hemorrhage;
Humans;
Hypertension;
Incidence;
Intubation;
Phenylephrine*;
Pulmonary Edema*
- From:Korean Journal of Anesthesiology
2004;47(2):273-276
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Topical phenylephrine is used in nasotracheal intubation to prevent nasal mucosal bleeding. The administration of topical phenylephrine can result in severe hypertension secondary to alpha-adrenergic stimulation. A high incidence of pulmonary edema is present in the patients given drugs with beta-blocking activity after phenylephrine administration. We report upon a pediatric patient in whom severe hypertension and pulmonary edema occured following the administration of topical phenylephrine.
