| Acute Pulmonary Edema due to Local Epinephrine Injection during Tonsillectomy: A case report. |
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Ji Yoon Kim, So Ron Choi, Seung Cheol Lee, Chan Jong Chung |
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Department of Anesthesia and Pain Medicine, College of Medicine, Dong-A University, Busan, Korea. cjchung@daunet.donga.ac.kr |
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| Abstract |
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Hemostasis and a clear field are obtained by the local infiltration of a local anesthetic mixed with epinephrine.
However, epinephrine may in itself, due to its cardiovascular effect, cause arryhthmia, heart failure, pulmonary edema, and even cardiac arrest. We describe a 10-year-old patient who developed ventricular premature contraction and acute pulmonary edema due to epinephrine infiltration during tonsillectomy. The patient recovered without any sequelae after intensive treatment involving fluid restriction, diuretics, dobutamine infusion, and oxygen by mask at 5 L/min. |
| Key Words:
epinephrine; pulmonary edema |
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