RSS-Feed abonnieren
PDF herunterladen
DOI: 10.1055/s-0040-1708564
Fatal Subarachnoid Hemorrhage due to Intravascular Adrenaline Absorption
Abstract
Vasoconstrictors are commonly administered with local anesthetics (LAs) to decrease intraoperative bleeding. However, inadvertent systemic absorption of adrenaline is not uncommon and is associated with significant hemodynamic consequences and arrhythmias, which are usually inconsequential. We report a case of suspected intravascular adrenaline absorption in a 1-year-old girl with craniosynostosis, which led to subarachnoid hemorrhage, herniation, and death.
Publikationsverlauf
Artikel online veröffentlicht:
13. April 2020
© 2020. Indian Society of Neuroanaesthesiology and Critical Care. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India
-
References
- 1 Pawar SC, Patil SS, Jagtap SR, Deolokar S. Cardiac arrest after submucosal infiltration with lignocaine 2%—epinephrine in nasal surgery: A case report. S Afr J Anaesthesiol Analg 2009; 15: 29-31
- 2 Gupta N, Gupta V. Life-threatening complication following infiltration with adrenaline. Indian J Anaesth 2014; 58 (02) 225-227
- 3 Bae JY, Woo CH, Kim SH, Kwak IS, Mun SH, Kim KM. Cardiovascular crisis after small dose local infiltration of epinephrine in patient with asymptomatic subarachnoid hemorrhage -A case report-. Korean J Anesthesiol 2010; 59 (Suppl S53-S57
- 4 Johnston RR, Eger EI II, Wilson C. A comparative interaction of epinephrine with enflurane, isoflurane, and halothane in man. Anesth Analg 1976; 55 (05) 709-712
- 5 Moore MA, Weiskopf RB, Eger II EI, Wilson C, Lu G. Arrhythmogenic doses of epinephrine are similar during desflurane or isoflurane anesthesia in humans. Anesthesiology 1993; 79 (05) 943-947
- 6 Navarro R, Weiskopf RB, Moore MA. et al. Humans anesthetized with sevoflurane or isoflurane have similar arrhythmic response to epinephrine. Anesthesiology 1994; 80 (03) 545-549
- 7 Katz RL, Katz GJ. Surgical infiltration of pressor drugs and their interaction with volatile anaesthetics. Br J Anaesth 1966; 38 (09) 712-718
- 8 Ghali GZ, Zaki Ghali MG, Ghali EZ. et al. Intracranial venous hypertension in craniosynostosis: mechanistic underpinnings and therapeutic implications. World Neurosurg 2019; 127: 549-558
- 9 Udomphorn Y, Armstead WM, Vavilala MS. Cerebral blood flow and autoregulation after pediatric traumatic brain injury. Pediatr Neurol 2008; 38 (04) 225-234