title: Cardiovascular crisis after small dose local infiltration of epinephrine in patient with asymptomatic subarachnoid hemorrhage -A case report-.
abstract: The infiltration of dilute epinephrine solution has been used for many years to provide hemostasis. However, epinephrine has adverse cardiovascular effects, such as arrhythmia, pulmonary edema, and even cardiac arrest. We have experienced epinephrine-induced cardiovascular crisis, with severe hypertension, tachycardia, and cardiac arrest after subcutaneous infiltration of a 2% lidocaine and 1 : 200,000 epinephrine solution in a patient with an asymptomatic subarachnoid hemorrhage. We provided successfully advanced cardiac life support in the operating room and cardioverted the patient back into a sinus rhythm with no untoward effects. The patient recovered without any apparent sequelae after intensive care.
authors.affiliation: Department of Anesthesiology and Pain Medicine, Hangang Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea.
authors.forename: Ji Young
authors.initials: JY
authors.lastname: Bae
authors.forename: Chul-Ho
authors.initials: CH
authors.lastname: Woo
authors.forename: Sung Hoon
authors.initials: SH
authors.lastname: Kim
authors.forename: In-Suk
authors.initials: IS
authors.lastname: Kwak
authors.forename: Sung Ha
authors.initials: SH
authors.lastname: Mun
authors.forename: Kwang-Min
authors.initials: KM
authors.lastname: Kim