KMID : 1155520070020020067
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Anesthesia and Pain Medicine 2007 Volume.2 No. 2 p.67 ~ p.69
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Transient Hypertension, Cardiac Arrhythmia and Prolonged ST-depression due to High Concentration Epinephrine-soaked Gauze Application during Whole Face Resurfacing for Acne Scar with Erbium-Yag Laser -A case report-
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Park Chan-Do
Kang Jin-Gu Lee Byung-Dal
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Abstract
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Subcutaneous and topical epinephrine are widely used for hemostasis during dermatologic procedure.There was substantial variation in the amount of systemic absorption on the basis of patient¡¯s general condition, blood supply of wounds.Increased or unpredictable absorption after topical administration may increase anesthetic and cardiovascular risks.There have been no reports about cardiovascular complications developed during laser resurfacing.We experienced a case of transient hypertension, cardiac arrhythmia and ST-depression during whole face resurfacing by Erbium-Yag laser due to application of high concentration epinephrine gauze on the face.The hypertension and arrhythmia were normalized in 2 minutes, and ST-depression was sustained for about 4 hours.(Anesth Pain Med 2007; 2: 67¡69)
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KEYWORD
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arrhythmia, hypertension, laser resurfacing, ST-depression.
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