Epinephrine-Induced Acute Pulmonary Edema during Septoplasty.
- Author:
Bon Sung KOO
1
;
Jun Woo PARK
;
Hyun Woo NA
;
Mi Soon LEE
;
A Na CHO
;
Yang Hoon CHUNG
;
Joon Ho LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea. Kbs0803@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
Epinephrine;
Pulmonary edema;
Septoplasty
- MeSH:
Anesthetics, Local;
Arrhythmias, Cardiac;
Cerebral Hemorrhage;
Dihydroergotamine;
Diuretics;
Epinephrine;
Headache;
Heart Arrest;
Humans;
Hypertension;
Intensive Care Units;
Lidocaine;
Myocardial Ischemia;
Positive-Pressure Respiration;
Psychomotor Agitation;
Pulmonary Edema*;
Tachycardia
- From:Soonchunhyang Medical Science
2018;24(1):105-109
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Epinephrine is used with lidocaine to provide bloodless surgical field and to prolong the action of local anesthetics. But epinephrine also has many adverse reactions, such as agitation, restlessness, headache, tachycardia, hypertension, and some significantly more dangerous conditions including myocardial ischemia, ventricular arrhythmia, cerebral hemorrhage and pulmonary edema, cardiac arrest, etc. We have experienced epinephrine-induced acute pulmonary edema due to submucosal intranasal application of epinephrine soaked gauze during septoplasty. The patient was successfully treated in intensive care unit with positive pressure ventilation, diuretics, and inotropic support. He was extubated after 5 hours and discharged after 7 days without any complications.
