Acute pulmonary edema after local infiltration of epinephrine during mastoidectomy: A case report.
10.4097/kjae.2009.56.4.462
- Author:
Young Jin CHANG
1
;
Sang Kee MIN
;
Ji Young YOO
;
Jong Yeop KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon, Korea. kjyeop@ajou.ac.kr
- Publication Type:Case Report
- Keywords:
Epinephrine;
Mastoidectomy;
Pulmonary edema
- MeSH:
Arrhythmias, Cardiac;
Diuretics;
Ear;
Epinephrine;
Heart Arrest;
Hemostasis;
Humans;
Hypertension;
Hypotension;
Critical Care;
Lidocaine;
Microsurgery;
Nitroglycerin;
Pulmonary Edema;
Steroids;
Tachycardia
- From:Korean Journal of Anesthesiology
2009;56(4):462-465
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A mixture of local anesthetic and epinephrine provides hemostasis for ear microsurgery. However, epinephrine has adverse cardiovascular effects, such as arrhythmia, pulmonary edema, and even cardiac arrest. We have experienced catecholamine-induced cardiovascular crisis, with severe hypertension, tachycardia, and acute pulmonary edema, after subcutaneous infiltration with a 2% lidocaine and 1:200,000 epinephrine solution. The patient recovered without any apparent sequelae after intensive care, including diuretics, steroids, and nitroglycerin for the hypertension and pulmonary edema, and a vasopressor for the subsequent hypotension.
