| Unexpected Pulmonary Edema Associated with an Intranasal Spray of Phenylephrine during the Induction of General Anesthesia: A case report. |
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Hyung Sun Lim, Sang Kyi Lee, Ji Seon Son |
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Department of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, Korea. LeeSK@moak.chonbuk.ac.kr |
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| Abstract |
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Topical phenylephrine is used in nasotracheal intubation to prevent nasal mucosal bleeding. The administration of topical phenylephrine can result in severe hypertension secondary to alpha-adrenergic stimulation. A high incidence of pulmonary edema is present in the patients given drugs with beta-blocking activity after phenylephrine administration. We report upon a pediatric patient in whom severe hypertension and pulmonary edema occured following the administration of topical phenylephrine. |
| Key Words:
beta-antagonist; phenylephrine; pulmonary edema |
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