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Unintentional epidural injection of 88 μg·kg −1 of epinephrine
Author(s) -
August David A.,
Sui Jinghu,
Coté Charles J.
Publication year - 2014
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/pan.12503
Subject(s) - medicine , epinephrine , anesthesia , stroke volume , contractility , cardiac output , peripheral resistance , blood pressure , pulse (music) , vascular resistance , epidural space , stroke (engine) , cardiology , hemodynamics , heart rate , mechanical engineering , detector , electrical engineering , engineering
Summary We report the effects of 88 μg·kg −1 of epinephrine (1 : 10 000) injected into the caudal epidural space of a 42‐week postconceptual age infant. No long‐term neurological or cardiovascular sequelae occurred. Noninvasive cardiac output ( CO ) monitoring revealed increased CO , contractility, and stroke volume for about an hour, accompanied by a reduction in peripheral vascular resistance and a modest increase in pulse and blood pressure.