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KMID : 0356920090560040462
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Korean Journal of Anesthesiology
2009 Volume.56 No. 4 p.462 ~ p.464
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Acute pulmonary edema after local infiltration of epinephrine during mastoidectomy - A case report -
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Chang Young-Jin
Kim Jong-Yeop
Yoo Ji-Young
Min Sang-Ki
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Abstract
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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.
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KEYWORD
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Epinephrine, Mastoidectomy, Pulmonary edema
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