[Sudden onset of bronchospasm and persistent hypotension during spinal anesthesia in a patient on long-term psychotropic therapy].
We experienced perioperative management of a patient on long-term psychotropic therapy. The patient was a 65-year-old man who underwent TUR of the prostate under spinal anesthesia. Bronchospasm and persistent hypotension occurred immediately after the beginning of TUR. Aminophylline improved bronchospasm, but it was difficult to keep blood pressure with continuous infusion of norepinephrine or epinephrine. The patient recovered from anesthesia safely. We should pay attention to bronchospasm as well as hypotension in a patient on long-term psychotropic therapy during perioperative period.
Sawada
N
N
Department of Anesthesia, Kumamoto Rosai Hospital, Yatsushiro.
Higashi
K
K
Yanagi
F
F
Nishi
M
M
Akasaka
T
T
Kudoh
J
J
D000628:Aminophylline / Q000008:administration & dosage; D000775:Anesthesia, Spinal; D000818:Animals; D001986:Bronchial Spasm / Q000139:chemically induced* / Q000188:drug therapy; D002417:Cattle; D004837:Epinephrine / Q000008:administration & dosage; D007022:Hypotension / Q000139:chemically induced* / Q000188:drug therapy; D007430:Intraoperative Care; D007431:Intraoperative Complications / Q000139:chemically induced* / Q000188:drug therapy; D008297:Male; D009638:Norepinephrine / Q000008:administration & dosage; D011468:Prostatectomy; D011470:Prostatic Hyperplasia / Q000150:complications / Q000601:surgery; D011619:Psychotropic Drugs / Q000009:adverse effects*; D012559:Schizophrenia / Q000188:drug therapy
D011619:Psychotropic Drugs; D000628:Aminophylline; D009638:Norepinephrine; D004837:Epinephrine