Cardiac Arrest during Epontol Intravenous Anesthesia .
10.4097/kjae.1979.12.2.183
- Author:
Sang Bum CHUNG
1
;
Jae Kyu JEON
Author Information
1. Department of Anesthesiology, Daegu Presbyterian Medical Center, Daegu, Korea.
- Publication Type:Case Report
- MeSH:
Anesthesia, Intravenous*;
Coma;
Cyanosis;
Depression;
Electrocardiography;
Female;
Heart Arrest*;
Heart Diseases;
Histamine Release;
Humans;
Hypotension;
Minor Surgical Procedures;
Propanidid*;
Respiratory Insufficiency;
Resuscitation;
Rheumatic Fever;
Sepsis;
Uterine Hemorrhage
- From:Korean Journal of Anesthesiology
1979;12(2):183-185
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Epontol is well known as an ultra-short-acting intravenous anesthetic which can be used for minor surgery. This case report is to present the possibility of cardiac arrest while using Epontol in a patient with heart disease because its pharmacological action causes acute hypotension due to myocardial depression and histamine release. This 30 year old female who had a history of rheumatic fever with incomplete RBBB manifested by ECG, was admitted with vaginal bleeding and 500 mg of 5% Epontol was .administered for D % C. The patient appeared to have acute cyanosis immediately after Epontol administeration, followed by cardiac arrest. Despite cardiac resuscitation was performed adequately, the patient remained comatose for 1 year and 4 months and died of respiratory failure with sepsis.
