The treatment of postoperative inspiratory stridor with intraoral epinephrine

Basit Öğe Kaydı
dc.authorid0000-0003-0582-8723
dc.authorid0000-0002-0363-9307
dc.contributor.authorGülcü, Nebahat
dc.contributor.authorKaraaslan, Kazım
dc.contributor.authorSüslü, Ahmet E.
dc.contributor.authorKoçoğlu, Hasan
dc.date.accessioned2021-06-23T19:20:26Z
dc.date.available2021-06-23T19:20:26Z
dc.date.issued2007
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractSir—A 5-year-old, 20-kg boy presented for reoperation because of bleeding 5 h after tonsillectomy. Anesthesia was induced on both occasions with pentothal 5 mg·kg−1, fentanyl 1 μg·kg−1 and vecuronium 0.1 mg·kg−1, then maintained with nitrous oxide, oxygen and sevoflurane. Reversal of the relaxant was with atropine 0.01 mg·kg−1 and neostigmine 0.02 mg·kg−1. The patient developed inspiratory stridor immediately after extubation. His peripheral oxygen saturation (SpO2) decreased to 85%. We ventilated him with 100% oxygen and gave him IV 20 mg lidocaine and 20 mg prednisolone. Success was partial and suprasternal and intercostal recessions continued with 100% oxygen and given intravenous 20 mg lidocaine and 20 mg prednisolone. But, the success of treatment was partial and added suprasternal and intercostal indrawings. Despite giving cold humidified oxygen via facemask the patient remained tachypneic with forced respiration. At that time, the peripheral venous catheter became displaced. While attempting venous access, 20 μg of epinephrine was instilled intraorally. In a few minutes, respiration improved significantly. The final values before discharge from the recovery room without oxygen support were: pulse rate; 140 b·min−1, blood pressure; 100/60 mmHg, respiratory rate; 17 min−1, SpO2; 97% and no recessions.en_US
dc.identifier.doi10.1111/j.1460-9592.2006.02081.x
dc.identifier.endpage297en_US
dc.identifier.issn1155-5645
dc.identifier.issn1460-9592
dc.identifier.issue3en_US
dc.identifier.pmid17263751en_US
dc.identifier.scopus2-s2.0-33846632266en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage297en_US
dc.identifier.urihttps://doi.org/10.1111/j.1460-9592.2006.02081.x
dc.identifier.urihttps://hdl.handle.net/20.500.12491/6114
dc.identifier.volume17en_US
dc.identifier.wosWOS:000243792300017en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorGülcü, Nebahat
dc.institutionauthorKaraaslan, Kazım
dc.institutionauthorSüslü, Ahmet E.
dc.institutionauthorKoçoğlu, Hasan
dc.language.isoenen_US
dc.publisherBlackwell Publishingen_US
dc.relation.ispartofPediatric Anesthesiaen_US
dc.relation.publicationcategoryDiğeren_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEpinephrineen_US
dc.titleThe treatment of postoperative inspiratory stridor with intraoral epinephrineen_US
dc.typeLetteren_US

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