Hülya KORKMAZ, Mert GÖL, AYDIN TAŞDÖĞEN, Yeşim YAĞBASAN, Esra DURAN, Oktay ERTEN, Zahide ELAR

Uterusa yüksek doz adrenalin infiltrasyonuna bağlı gelişen ventriküler taşikardi ve hipertnasif kriz (olgu sunumu)

Aşırı doz adrenalin uygulaması nadir bir olay olmayıp literatürde, kazara enjeksiyon, yanlış konsantrasyonda enjeksiyon veya geniş debridman ve yara yüzeyinden absorbsiyona bağlı olarak bildirilmiştir. Ancak miyomektomi operasyonunda uterusa iyatrojenik olarak yüksek doz adrenalin infiltrasyonuna bağlı bir yayın bulunamamıştır. Burada, miyomektomi sırasında kanama miktarını azaltmak amacıyla, iyatrojenik olarak 1.5 mg adrenalin infiltrasyonu sonrasında ventriküler taşikardi ve hipertansif kriz gelişen 37 yaşında bir olguyu sunduk.

Anahtar Kelimeler:

Epinefrin, Hipertansiyon, Taşikardi, ventriküler, Doz aşımı, Miyom

Hypertensive crisis and ventricular tachycardia due to high dose adrenaline infiltration to uterus (case report)

Adrenaline overdose is not an uncommon event and is reported to be a result of inadvertent injection, administration of incorrect concentration, or absorbtion from large debridement and wound surfaces. There is, however, nothing in the literature regarding adrenaline overdose caused by iatrogenic high dose infiltration to the uterus during myomectomy surgery. In this case report, we described a 37 year old woman who developed acute hypertensive crisis and ventricular tachycardia after inadvertent infiltration of 1.5 mg of adrenaline for the purpose of reducing blood loss during myomectomy.

Keywords:

Epinephrine, Hypertension, Tachycardia, Ventricular, Overdose, Myoma,

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