KMID : 1214920180240010105
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Soonchunhyang Medical Science 2018 Volume.24 No. 1 p.105 ~ p.109
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Epinephrine-Induced Acute Pulmonary Edema during Septoplasty
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Koo Bon-Sung
Park Jun-Woo Na Hyun-Woo Lee Mi-Soon Cho A-Na Chung Yang-Hoon Lee Joon-Ho
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Abstract
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Epinephrine is used with lidocaine to provide bloodless surgical field and to prolong the action of local anesthetics. But epinephrine also has many adverse reactions, such as agitation, restlessness, headache, tachycardia, hypertension, and some significantly more dangerous conditions including myocardial ischemia, ventricular arrhythmia, cerebral hemorrhage and pulmonary edema, cardiac arrest, etc. We have experienced epinephrine-induced acute pulmonary edema due to submucosal intranasal application of epinephrine soaked gauze during septoplasty. The patient was successfully treated in intensive care unit with positive pressure ventilation, diuretics, and inotropic support. He was extubated after 5 hours and discharged after 7 days without any complications.
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KEYWORD
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Epinephrine, Pulmonary edema, Septoplasty
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