비성형술 시행 중 발생한 심실빈맥 치험례 = Ventricular Tachycardia in Rhinoplasty: A Report of Two Cases

다국어 초록 (Multilingual Abstract)

Local infiltration (lidocain and epinephrine) has been used to control bleeding in local or general anesthesia in plastic surgery field. However epinephrine also has various side effects, such as tarchycardia, arrhythmia, pulmonary edema, cardiac arrest, etc. We experienced two cases of ventricular tachycardia after local infiltration in rhinoplasty. The first case was a 21 year-old female and the second case was a 40 year-old male. None of them had previous history of cardiac disease. We performed cardiac massage and cardioversion several times immediately after ECG changed to Ventricular tachycardia in operation room until ECG turned to normal sinus rhythm. Patients were transferred to intensive care unit. The condition of patients improved rapidly in a few days and additional complications were not detected except pulmonary edema following cardiac massage. Conclusion:We experienced ventricular tachycardia unexpectedly after local infiltration during the surgical procedure. We report these cases with literature.(Archives of Aesthetic Plastic Surgery 17: 137, 2011)

참고문헌 (Reference)

1 이종연, "피부이식 술 중 도포한 Epinephrine거즈에 의한 심실성 빈맥" 대한중환자의학회 24 (24): 42-46, 2009

2 손원상, "편도적출술시 Epinephrine 국소적 침윤에 의한 급성 폐부종 치험 2예" 대한이비인후과학회 49 (49): 575-578, 2006

3 이경묵, "유방확대술 중 발생한 Takotsubo 심근병 1례" 대한성형외과학회 38 (38): 85-88, 2011

4 이지연, "에피네프린 국소 침윤 후 발생한 급성 고혈압 시 베타 차단제 투여 후에 발생한 급성 심부전" 대한마취과학회 52 (52): 591-595, 2007

5 장영진, "꼭지돌기절제술 시 Epinephrine 국소 침윤에 의한 급성 폐부종" 대한마취과학회 56 (56): 462-465, 2009

6 Hema HA, "Ventricular tachycardia due to intranasal adrenaline in nasal surgery-a case report" 52 : 199-, 2008

7 Bybee KA, "Systemic review: transient left ventricular apical ballooning: a syndrome thatr mimics ST-segment elevation myocardial infarction" 141 : 858-, 2004

8 Sato Y, "Reversible catecholamineinduced cardiomyopathy by subcutaneous injection of epinephrine solution in an anesthetized patient" 92 : 615-, 2000

9 Gessler EM, "Optimal concentration of epinephrine for vasoconstriction in ear surgery" 111 : 1687-, 2001

10 Dote K, "Myocardial stunning due to simultaneous multivessel coronary spasms: a review of 5 cases" 21 : 203-, 1991

11 조츈규, "Epinephrine 국소 투여 후 발생한 스트레스성 심근병증 —증례보고—" 대한마취과학회 54 (54): 581-584, 2008

12 Cotton BR, "Changes in plasma catecholamine concentrations following infiltration with large volume of local anesthetic solution containing adrenaline" 58 : 593-, 1986

13 Lee JY, "Cardiac arrest induced by submucosal injection of epinephrine in a patient with variable angina" 48 : 251-, 2010