Acute pulmonary edema due to phenylephrine injection in patient receiving long-term β-blocker therapy - A case report -

Hyung Tae Kim, In Su Jang, Seon Kyeong An
2009 Korean Journal of Anesthesiology  
During administration of anesthesia, intraoperative blood pressure control is very important. Sometimes a hypertensive or antihypertensive agent is used in order to maintain blood pressure at an adequate level; α-agonist and β-blocker are drugs frequently used. Alpha-agonists are used in various ways including their application together with local anesthetics during an operation for the purpose of vasoconstriction, to control systemic absorption of local anesthetics, to extend the duration of
more » ... d the duration of action, or to reduce bleeding from the surgical site. In addition, α-agonists are used in cardiopulmonary resuscitation. Beta-blockers are used widely as a therapeutic agent for hypertension, angina, and arrhythmia, and to lower portal pressure in liver cirrhosis. Here, we are reporting the case of acute pulmonary edema that occurred after the administration of phenylephrine, in order to maintain blood pressure in a 52-year-old female patient with liver cirrhosis. The patient was underwent emergent decompressive craniectomy for intracranial hemorrhage without acknowledging her long-term use of a β-blocker medication. (Korean J Anesthesiol 2009; 57: 242∼5)
doi:10.4097/kjae.2009.57.2.242 fatcat:gh6357bl4rgwtky4dl6asnjrhi