Unilateral mydriasis secondary to ipratropium bromide in a critically ill patient.
Unilateral dilated pupil in a critical patient under sedation is an important clinical sign that requires prompt evaluation. An exhaustive assessment must be performed, including neurological examination and imaging tests, and pharmacological causes must be ruled out. We describe a case of unilateral fixed dilated pupil secondary to the administration of a nebulized cholinergic antagonist, ipratropium bromide, in an unconscious patient.
Department of Intensive Care, Universitary Hospital Insular in Gran Canaria, Las Palmas de Gran Canaria, Spain.
Luciano
L
Santana-Cabrera
Ernesto José
EJ
Fernández-Tagarro
Beatriz
B
Del Amo-Nolasco
Nieves
N
Jaén-Sánchez
Juan José
JJ
Cáceres-Agra