비중격성형술 과정 중 Epinephrine 국소주사에 의해 발생한 심실성 빈맥
Ventricular Tachycardia due to Submucosal Epinephrine Injection during Septoplasty
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초록
Local infiltration of dilute solutions of epinephrine is widely used for the purpose of hemostasis during septal surgery. However, infiltrated epinephrine often make several side effects such as palpitation, hypertension, or arrhythmia. Also, it may be possible to experience the catastrophic events such as intracranial hemorrhage, pulmonary edema, and cardiac arrest when we use overdose of epinephrine. We experienced ventricular tachycardia in a 36-year-old male with no significant medical history, after submucosal infiltration of epinephrine with appropriate dose during septoplasty. Intraoperative cardiopulmonary resuscitation by external chest compression and direct current cardioversion was successful. We thoroughly evaluated the patient and proved the diagnosis of variant angina pectoris using coronary angiography.
Abstract
Local infiltration of dilute solutions of epinephrine is widely used for the purpose of hemostasis during septal surgery. However, infiltrated epinephrine often make several side effects such as palpitation, hypertension, or arrhythmia. Also, it may be possible to experience the catastrophic events such as intracranial hemorrhage, pulmonary edema, and cardiac arrest when we use overdose of epinephrine. We experienced ventricular tachycardia in a 36-year-old male with no significant medical history, after submucosal infiltration of epinephrine with appropriate dose during septoplasty. Intraoperative cardiopulmonary resuscitation by external chest compression and direct current cardioversion was successful. We thoroughly evaluated the patient and proved the diagnosis of variant angina pectoris using coronary angiography.
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