Korean J Anesthesiol Search

CLOSE


Korean Journal of Anesthesiology 1995;29(6):909-912.
DOI: https://doi.org/10.4097/kjae.1995.29.6.909   
Pulmonary Edema Caused by Intrauterine Dextran.
Jeong Suk Hong, Yun Young Choi, Soon Ho Nam
Department of Anesthesiology, Yonsei University College of Medicine, Seoul, Korea.
Abstract
Dextran are used as distension media to help visualize the uterine cavity during diagnostic and operative hysteroscopy and are also used for volume expansion and their antithrombogenic effect. But dextran have significant side effects including pulmonary edema, coagulation defects, anaphylaxis and acute renal failure. We experienced a case of pulmonary edema following hysteroscopic guided endometrial resection. A 41-year-old female was performed the operation under general anesthesia, and the time of tion was approximately 90 minutes, and 1000 ml of rheomacrodex(10% dextran 40 in 5% dextrose in water) was instilled during the procedure. At the end of the operation, we noted a drop in oxygen saturation, engorgement of neck vein and watery pink tinged sputum in the endotracheal tube. Chest x-ray was taken and showed pulmonary edema. The patient was transferred to the intensive care unit where therapy was instituted including positive pressure mechanical ventilation and negative balanced fluid therapy with intravenous push of furosemide. The patient was extubated after 1 day with ventilator care and transferred to general ward on 2nd postoperative day and discharged on 5th postoperative day without any complication.
Key Words: Dextran; Hysteroscopy; Distension media; Pulmonary edema


ABOUT
ARTICLE CATEGORY

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Editorial Office
101-3503, Lotte Castle President, 109 Mapo-daero, Mapo-gu, Seoul 04146, Korea
(서울특별시 마포구 마포대로 109 롯데캐슬 프레지던트 101동 3503호)
Tel: +82-2-792-5128    Fax: +82-2-792-4089    E-mail: journal@anesthesia.or.kr                
Business Name: Korean Society of Anesthesiologists (대한마취통증의학회)
Business Registration: 106-82-07194
Representative: Young-Tae Jeon (전영태)

Copyright © 2025 by Korean Society of Anesthesiologists.

Developed in M2PI

Close layer
prev next