Hazards of epinephrine in transsphenoidal pituitary surgery

被引：22

作者：

Chelliah, YR ^{[1
]}

Manninen, PH ^{[1
]}

机构：

[1] Univ Toronto, Toronto Western Hosp, Dept Anesthesia, Univ Hlth Network, Toronto, ON M5T 2S8, Canada

来源：

JOURNAL OF NEUROSURGICAL ANESTHESIOLOGY | 2002年 / 14卷 / 01期

关键词：

epinephrine; transsphenoidal pituitary surgery; hypophysectomy; hypertension; myocardial infarct;

D O I：

10.1097/00008506-200201000-00008

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

A 79-year-old woman with no history of myocardial ischemia presented with symptoms of pituitary apoplexy for which an urgent transsphenoidal resection of the pituitary gland was undertaken. The nasal passages were prepared with topical application of epinephrine followed by injection of what was presumed to be 1% lidocaine containing 10 mug/ml(-1) of epinephrine. After only 1.5 mL of the solution had been injected, she developed a hypertensive crisis, which was immediately treated. Postoperatively, she developed a myocardial infarction. The risks associated with the use of vasopressors are reviewed and suggestions for their safe use are presented.

引用

页码：43 / 46

页数：4

共 23 条

[1] ETIOLOGY AND CONTROL OF CARDIOVASCULAR REACTIONS DURING TRANS-SPHENOIDAL RESECTION OF PITUITARY MICROADENOMAS [J].