Document Detail


Severe transient hypertension after greater palatine foramen block in a patient taking midodrine.
MedLine Citation:
PMID:  19944906     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report an episode of transient, severe hypertension occurring within 2 minutes of injection of 1% lidocaine with 1:100,000 U of epinephrine in a patient taking midodrine for orthostatic hypotension. We hypothesize that the patient's autonomic nervous system was dangerously susceptible to the effect of local anesthetic when combined with the vasoactive systemic effect of midodrine. Surgeons should minimize the use of vasoconstrictors in patients treated with midodrine to avoid hypertensive complications.
Authors:
Mark D Rizzi; Robert J Weil; Robert R Lorenz
Related Documents :
6172666 - Long-term treatment of hypertensive with methyldopa. vi. patient with target organ dise...
12045856 - Laparoscopic adrenalectomy for pheochromocytoma.
8081306 - Microalbuminuria in hypertensive patients.
16120146 - Sclerosing panniculitis is associated with pulmonary hypertension in systemic sclerosis.
19585376 - Prospective observational study of the incidental findings on endoscopic ultrasonograph...
12528106 - Screening for atherosclerosis in patients with rheumatoid arthritis: comparison of two ...
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-04-23
Journal Detail:
Title:  American journal of otolaryngology     Volume:  31     ISSN:  1532-818X     ISO Abbreviation:  Am J Otolaryngol     Publication Date:    2010 Jan-Feb
Date Detail:
Created Date:  2009-11-30     Completed Date:  2010-02-25     Revised Date:  2011-12-06    
Medline Journal Info:
Nlm Unique ID:  8000029     Medline TA:  Am J Otolaryngol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  67-9     Citation Subset:  IM    
Affiliation:
Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Anesthesia, Local / adverse effects*
Anesthetics, Local / adverse effects*
Epinephrine / adverse effects
Humans
Hypertension / chemically induced*
Hypophysectomy
Lidocaine / adverse effects*
Male
Middle Aged
Midodrine / adverse effects*
Palatine Tonsil
Vasoconstrictor Agents / adverse effects*
Chemical
Reg. No./Substance:
0/Anesthetics, Local; 0/Vasoconstrictor Agents; 137-58-6/Lidocaine; 42794-76-3/Midodrine; 51-43-4/Epinephrine
Comments/Corrections
Comment In:
Am J Otolaryngol. 2011 Nov;32(6):634-5; author reply 635-6   [PMID:  21306789 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Isolated sphenoid mucormycosis presenting as visual impairment: changing trends?
Next Document:  Clinical and histopathologic examination of ulcerating vocal fold lesions in an immunosuppressed pat...