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KMID : 1155520100050040333
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Anesthesia and Pain Medicine
2010 Volume.5 No. 4 p.333 ~ p.337
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Pulmonary edema following intramyometrial injection and paracervical infiltration of vasopressin during laparoscopic myomectomy and LAVH (Laparoscopic abdominal vaginal hysterectomy) -A report of 2 cases-
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Kim Su-Yeon
Lee Jung-Hyang
Bang Eun-Chi
Lee Hyun-Sook
Kang Yong-In
Cho Kyung-Sook
Kwon Tae-Hee
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Abstract
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Vasopressin is often used locally to reduce blood loss in gynecologic surgery. The use of local infiltration of low concentration vasopressin (0.05?0.3 units/ml) has been considered to be safe. However, serious side effects such as bradycardia, hypertension, arrhythmia, pulmonary edema, coronary vasospasm, myocardial infarction and even cardiac arrest were reported during low-dose vasopressin. In 2 healthy women with myoma and multiple myoma combined with adenomyosis, we experienced pulmonary edema after intramyometrial injection and paracervical infiltration of vasopressin. After diuretics and oxygen therapy, the patients were recovered without any complications.
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KEYWORD
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Intramyometrial injection, Paracervical infiltration, Pulmonary edema, Vasopressin
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