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Cardiovascular instability following bolus dose of etomidate
Author(s) -
McGRADY E. M.,
WRIGHT I. H.
Publication year - 1989
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1989.tb11339.x
Subject(s) - etomidate , medicine , bolus (digestion) , anesthesia , hydrocortisone , surgery , propofol
Summary A patient with alveolar proteinosis develqed unexpected cardiovascular instability after broncho‐alveolar lavage. He had received two bolus doses of etomidate within an 18‐hour period. Serum cortisol concentrations were low and hydrocortisone replacement therapy was necessary to restore arterial pressure. Implications for management of critically ill patients who receive bolus doses of etomidate are discussed.