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Epinephrine의 국소 침윤 및 점막 도포 후 발생한 가역적 심근증 2예

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Author(s)
김찬진김진모장영호신용섭
Keimyung Author(s)
Kim, Jin Mo
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
Korean Journal of Anesthesiology
Issued Date
2009
Volume
56
Issue
6
Abstract
Catecholamine-induced cardiomyopathy rarely occurs after local epinephrine infiltration. We experienced two patients with catecholamine
induced cardiomyopathies. An 8-yr-old girl was scheduled for closed reduction of a nasal bone fracture. Propofol
and rocuronium bromide were used for induction of anesthesia. After induction, lidocaine mixed with epinephrine was infiltrated
to the block of supratrochlear and infraorbital nerves. About 10 sec later ventricular tachycardia, hypotension, hypoxemia, and
pulmonary edema developed. The other case was a 23-yr-old woman with a nasal bone fracture. Propofol, rocuronium bromide,
and fentanyl were used for the induction of anesthesia. After induction, epinephrine-containing wet gauze was packed in the
nasal cavity for mucosal shrinkage. About 1 minute later, hypertension, tachycardia, and hypoxemia developed. After each operation,
a transthorcic echo-cardiogram revealed hypokynesia of the myocardium. (Korean J Anesthesiol 2009; 56: 725~8)
Alternative Title
Cardiomyopathy after local infiltration or application of epinephrine for plastic surgery under general anesthesia -Two cases report-
Keimyung Author(s)(Kor)
김진모
Publisher
School of Medicine
Citation
김찬진 et al. (2009). Epinephrine의 국소 침윤 및 점막 도포 후 발생한 가역적 심근증 2예. Korean Journal of Anesthesiology, 56(6), 725–728. doi: 10.4097/kjae.2009.56.6.725
Type
Article
ISSN
2005-6419
DOI
10.4097/kjae.2009.56.6.725
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38512
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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