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KMID : 0604020110260040276
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Korean Journal of Critical Care Medicine
2011 Volume.26 No. 4 p.276 ~ p.280
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Ventricular Fibrillation Soon after Endobronchial Epinephrine Application in a Young Man
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Shin Young-Min
Kim Jong-Hyung
Kim Hyung-Wook
Choi Bo-Sik
Jeong Jin-Kyu
Hwang Jung-Won
Seo Kwang-Won
Ahn Jong-Joon
Ra Seung-Won
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Abstract
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Ventricular fibrillation and cardiac arrest rarely occur after local application of epinephrine. Local and superficial application of epinephrine is a common hemostatic method during bronchoscopy, especially after biopsies. Although high plasma levels following endobronchial application of epinephrine have been observed in previous animal studies, there is no report of ventricular fibrillation after a usual dose of endobronchial application of epinephrine during bronchoscopy. We present a case of endobronchial epinephrine-induced ventricular fibrillation and cardiac arrest in a 31-year-old man with no previous history of cardiac disease.
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KEYWORD
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bronchoscopy, epinephrine, ventricular fibrillation
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