title: Serious systemic toxicity resulting from use of tetracaine for pharyngeal anesthesia in upper endoscopic procedures.
abstract: Three cases of serious systemic toxicity from tetracaine pharyngeal anesthesia for upper endoscopic procedures are described. The pathophysiologic basis for systemic toxicity is discussed and a recommendation for preendoscopic anesthesia is provided.
authors.affiliation: Department of Medicine, Brockton/West Roxbury Veterans Administration Medical Center, Massachusetts 02401.
authors.forename: D
authors.initials: D
authors.lastname: Patel
authors.forename: S
authors.initials: S
authors.lastname: Chopra
authors.forename: M D
authors.initials: MD
authors.lastname: Berman
mesh_terms: D000368:Aged; D000772:Anesthesia, Local / Q000009:adverse effects; D004384:Duodenoscopy; D004724:Endoscopy / Q000009:adverse effects; D004945:Esophagoscopy; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010614:Pharynx; D013748:Tetracaine / Q000009:adverse effects*
chemical_list: D013748:Tetracaine