The use of intravenous nitroglycerin in a case of spasm of the sphincter of Oddi during laparoscopic cholecystectomy.
Spasm of the sphincter of Oddi still occurs during cholecystectomy. Some reports indicate that the spasm, induced by morphine, can be reversed by injection of naloxone, nalbuphine, and glucagon. Others maintain that nitroglycerin or nifedipine can relax the sphincter of Oddi muscle. We recently encountered spasm of the sphincter of Oddi during a laparoscopic cholecystectomy and treated it successfully with intravenous nitroglycerin.
Toyoyama
H
H
Department of Anesthesia, Osaka Kosei-Nenkin Hospital, Japan. toyoh@wb3.so-net.ne.jp
Kariya
N
N
Hase
I
I
Toyoda
Y
Y
D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D003137:Common Bile Duct Diseases / Q000188:drug therapy*; D005260:Female; D006801:Humans; D007262:Infusions, Intravenous; D008875:Middle Aged; D005996:Nitroglycerin / Q000008:administration & dosage / Q000627:therapeutic use*; D013035:Spasm / Q000188:drug therapy*; D009803:Sphincter of Oddi
D005996:Nitroglycerin