Korean J Anesthesiol.  2004 Aug;47(2):273-276. 10.4097/kjae.2004.47.2.273.

Unexpected Pulmonary Edema Associated with an Intranasal Spray of Phenylephrine during the Induction of General Anesthesia: A case report

• Lim HS
• Lee SK
• Son JS

• KMID: 2237542
• DOI: http://doi.org/10.4097/kjae.2004.47.2.273

Abstract

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.

Keyword

beta-antagonist; phenylephrine; pulmonary edema

MeSH Terms

Anesthesia, General*
Hemorrhage
Humans
Hypertension
Incidence
Intubation
Phenylephrine*
Pulmonary Edema*
Phenylephrine