Two Case of Acute Pulmonary Edema due to Local Epinephrine Injection during Tonsillectomy.
- Author:
Won Sang SON
1
;
Byung Cheol PARK
;
Jin YU
;
Hong In BAEK
Author Information
1. Department of Otorhinolaryngology, Kwangju Christian Hospital, Gwangju, Korea. kchent2@hanmail.net
- Publication Type:Case Report
- Keywords:
Epinephrine;
Tonsillectomy;
Pulmonary edema
- MeSH:
Anesthesia, General;
Anxiety;
Arrhythmias, Cardiac;
Epinephrine*;
Headache;
Heart Arrest;
Hemorrhage;
Humans;
Hypertension;
Critical Care;
Intracranial Hemorrhages;
Postoperative Complications;
Pulmonary Edema*;
Tachycardia;
Tonsillectomy*;
Ventilation
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2006;49(5):575-578
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Epinephrine is used to control bleeding and clear operative field during tonsillectomy procedure by local and general anesthesia. But epinephrine also has many adverse effects, such as palpitation, headache, hypertension, arrhythmia, tachycardia, anxiety and some significantly more dangerous conditions including intracranial hemorrhage, pulmonary edema, cardiac arrest, etc. We have experienced two acute pulmonary edema owing to infiltration of epinephrine during tonsillectomy, where the condition of patients rapidly became more serious. We performed intensive care and ventilation therapy. In all cases, patients were recovered after intensive care and additional postoperative complication has not been detected until now. We report these cases with literature.
