Acute Pulmonary Edema due to Local Epinephrine Injection during Tonsillectomy: A case report.
10.4097/kjae.2004.47.6.890
- Author:
Ji Yoon KIM
1
;
So Ron CHOI
;
Seung Cheol LEE
;
Chan Jong CHUNG
Author Information
1. Department of Anesthesia and Pain Medicine, College of Medicine, Dong-A University, Busan, Korea. cjchung@daunet.donga.ac.kr
- Publication Type:Case Report
- Keywords:
epinephrine;
pulmonary edema
- MeSH:
Child;
Diuretics;
Dobutamine;
Epinephrine*;
Heart Arrest;
Heart Failure;
Hemostasis;
Humans;
Masks;
Oxygen;
Pulmonary Edema*;
Tonsillectomy*
- From:Korean Journal of Anesthesiology
2004;47(6):890-893
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hemostasis and a clear field are obtained by the local infiltration of a local anesthetic mixed with epinephrine. However, epinephrine may in itself, due to its cardiovascular effect, cause arryhthmia, heart failure, pulmonary edema, and even cardiac arrest. We describe a 10-year-old patient who developed ventricular premature contraction and acute pulmonary edema due to epinephrine infiltration during tonsillectomy. The patient recovered without any sequelae after intensive treatment involving fluid restriction, diuretics, dobutamine infusion, and oxygen by mask at 5 L/min.
