Occurrence of Ventricular Tachycardia After Adrenaline Local Injection During Laparoscopic Ovarian Cystectomy
10.2185/jjrm.63.758
- VernacularTitle:腹腔鏡下卵巣嚢腫切除術中に希釈アドレナリン局所注入後, 心室性頻拍を発症した1症例
- Author:
Hidenori UMEKI
;
Aya OSONOI
;
Atsushi FUSEGI
;
Chiaki OKAMOTO
;
Mikiko TSUGATA
;
Yoshiaki SOMEKAWA
- Publication Type:Journal Article
- From:Journal of the Japanese Association of Rural Medicine
2015;63(5):758-763
- CountryJapan
- Language:Japanese
-
Abstract:
A 32-year-old woman underwent the laparoscopic ovarian cystectomy. During the operation, adrenaline was injected into her right ovary, because the amount of bleeding decreased. Soon after the injection, ventricular tachycardia occurred and her blood pressure increased to 190/125. The use of lidocaine induced the electrocardiogram to return to normal and brought down the blood pressure to a normal range. The operation was finished without hitch. Vasopressin has both an excellent hemostatic effect and cardiovascular side effects, and is often used at many medical facilities in Japan. But the treatment with vasopressin is neither covered by health insurance nor the relief system for sufferers from adverse drug reactions. So we usually use adrenaline which is insurable at laparoscopic operations. Adrenaline has also a hemostatic property, and causes severe cardiovascular adverse events such as ventricular tachycardia when used together with halogenated inhalation anesthetic. The Japanese Society of Anesthesiologists concludes that no serious side effects will arise from using adrenalin and sevoflurane or isoflurane based on its own findings. We had a case with ventricular tachycardia which occurred after an adrenaline local injection. But we recommend a careful use of adrenaline for local injection during a laparoscopic operation.
