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꼭지돌기절제술 시 Epinephrine 국소 침윤에 의한 급성 폐부종

Korean Journal of Anesthesiology, 2009, 56(4), , pp.462-465 [Peer Reviewed Journal]

COPYRIGHT(C) KYOBO BOOK CENTRE ALL RIGHTS RESERVED ;ISSN: 2005-6419 ;EISSN: 2005-7563

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  • Title:
    꼭지돌기절제술 시 Epinephrine 국소 침윤에 의한 급성 폐부종
  • Author: 장영진 ; Young Jin Chang ; 민상기 ; Sang Kee Min ; 유지영 ; Ji Young Yoo ; 김종엽 ; Jong Yeop Kim
  • Subjects: Epinephrine ; Mastoidectomy ; Pulmonary edema ; 마취과학
  • Is Part Of: Korean Journal of Anesthesiology, 2009, 56(4), , pp.462-465
  • Description: 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. (Korean J Anesthesiol 2009;56:462∼5)
  • Publisher: 대한마취통증의학회(구 대한마취과학회)
  • Language: Korean
  • Identifier: ISSN: 2005-6419
    EISSN: 2005-7563
  • Source: KoreaMed Synapse
    DOAJ Directory of Open Access Journals
    KoreaMed Open Access
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