KMID : 0356919920250030627
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Korean Journal of Anesthesiology 1992 Volume.25 No. 3 p.627 ~ p.630
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Cardiac Arrest Due to High Concentration Epinephrine Soaking on the Nasal Mucosa during Halothane Anesthesia
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Abstract
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There is increasing tendency to use epinephrine injection or topical application to obtain clear operative field and hemostasis under general anesthesia. Even if the surgeons can get the good operative fileld for surgery, it is well known that
the
anesthetic problem may be anticipated due to using epinephrine under the halothane anesthesia.
We experienced a case of cardiac arrest durig halothane anesthesia due to inadvertant soaking with high concentration epinephrine cotton on the nasal cavity. The patient was resuscitated immediately and followed up carefully. Because the nasal
cavity is
in high vascu larity, only soaking of epinephrine can cause cardiac arrest, so in will be preferable to have some attention for using the high concentration of epinephrine on the specific area.
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