| Autor: |
Gil Zoizner-Agar, Anna Frants, John Puzzuti, Misuzu Kameyama, Scott Rickert |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
Otolaryngology Case Reports, Vol 18, Iss , Pp 100254- (2021) |
| Druh dokumentu: |
article |
| ISSN: |
2468-5488 |
| DOI: |
10.1016/j.xocr.2020.100254 |
| Popis: |
General and local anesthetics are generally well tolerated in the healthy population. Complications may arise affecting the surgical and anesthetic course. We present a case of severe bradycardia and hypotension, along with ST depressions which developed following general anesthesia and local injection of lidocaine with epinephrine to the nose in a healthy male during routine otolaryngological surgery. Symptoms improved with atropine, epinephrine and chest compressions. Subsequent electrocardiogram and Troponin were abnormal, and normalized within days. Reviewing the literature, several possible etiologies arise. These include the Trigeminocardiac Reflex, Takotsubo cardiomyopathy and others. These are discussed and the condition's immediate management recommended. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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