Cardiac Arrest Caused by Intramyometrial Infiltration of Vasopressin during Dilation and Curettage under General Anesthesia: A case report.
10.4097/kjae.2007.53.5.664
- Author:
Helen Ki SHINN
1
;
Jang Ho SONG
;
Jeong Wook HAN
;
Choon Soo LEE
;
Hee Chang KO
;
Young Deog CHA
Author Information
1. Department of Anesthesiology and Pain Medicine, College of Medicine, Inha University, Incheon, Korea. aneanal@hotmail.com
- Publication Type:Case Report
- Keywords:
baroreflex;
cardiac arrest;
dilation and curettage;
intramyometrial injection;
vasopressin
- MeSH:
Anesthesia, General*;
Baroreflex;
Blood Pressure;
Curettage*;
Death, Sudden, Cardiac;
Heart Arrest*;
Hemostasis, Surgical;
Humans;
Myocardial Infarction;
Pulmonary Edema;
Vasopressins*
- From:Korean Journal of Anesthesiology
2007;53(5):664-667
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Vasopressin, an extremely potent vasoconstrictor, has been widely used for surgical hemostasis in gynecological practices. But, Intramyometrial infiltration of vasopressin is not free of side effects and may cause lethal complications including pulmonary edema, myocardial infarction, and cardiac arrest in spite of infrequency of reported cases. Sudden cardiac arrest was encountered just after intramyometrial injection of vasopressin in our patient undergoing dilation and curettage. We believe that this awful complication was due to baroreflex-mediated regulation of blood pressure, caused by unintentional penetration of vasopressin into the vessels. We herewith discuss the complications of the local injection of vasopressin and the safe dose of vasopressin for intramyometrial injection.
