VENTRICULAR-FIBRILLATION FOLLOWING LOCAL APPLICATION OF COCAINE AND EPINEPHRINE FOR NASAL SURGERY

被引:13
作者
LORMANS, P [1 ]
GAUMANN, D [1 ]
SCHWIEGER, I [1 ]
TASSONYI, E [1 ]
机构
[1] UNIV GENEVA,HOP CANTONAL,DEPT ANESTHESIOL,CH-1211 GENEVA 4,SWITZERLAND
来源
ORL-JOURNAL FOR OTO-RHINO-LARYNGOLOGY AND ITS RELATED SPECIALTIES | 1992年 / 54卷 / 03期
关键词
ANESTHETICS; COCAINE; LIDOCAINE; ISOFLURANE; HEART; DYSRHYTHMIA; VENTRICULAR FIBRILLATION; VASOCONSTRICTOR; EPINEPHRINE;
D O I
10.1159/000276289
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
We report the case of a 17-year-old female patient, scheduled for septoplasty under general anesthesia, who developed ventricular fibrillation after intranasal application of cocaine (350 mg) and submucosal injection of lidocaine (20 mg) with epinephrine (100-mu-g). Resuscitation by external chest compression was successful, and normal sinus rhythm was reestablished after lidocaine injection (50 mg, i.v.). The cardiac risk of the combined administration of cocaine and epinephrine during general anesthesia are discussed.
引用
收藏
页码:160 / 162
页数:3
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