Myocardial ischaemia following cocaine and adrenaline exposure in a child during an ophthalmological procedure

Autor:	E, McGovern, E, Moylett, C J, McMahon
Rok vydání:	2015
Předmět:	Mydriatics Epinephrine Lacrimal Apparatus Diseases Administration Topical Myocardial Ischemia Infant Cardiovascular Agents Diagnostic Techniques Ophthalmological Nitroglycerin Treatment Outcome Cocaine Humans Female Anesthetics Local Milrinone
Zdroj:	Irish medical journal. 108(3)
ISSN:	0332-3102
Popis:	We report a 23-month old girl who presented with bilateral epiphora who underwent bilateral lacrimal probing and syringing, during which a cocaine adrenaline solution was used. Two hours after the procedure she developed acute pulmonary oedema secondary to myocardial ischaemia. The patient was treated with intravenous glyceryltrinitrate and milrinone infusions; cardiac enzymes and left ventricular function normalised over the subsequent 72 hours. Topical administration of cocaine and adrenaline solution may have dangerous systemic cardiac effects and should always be used judiciously.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::a1f66f932da28959560d93a951437fd4 https://pubmed.ncbi.nlm.nih.gov/25876303 Zobrazit plný text záznamu