Open AccessUncommon drug abuse: An anesthetist dilemma
Author(s) -
Kewal Krishan Gupta,
Amanjot Singh,
Gurpreet Singh,
Shobha Aggarwal
Publication year - 2015
Publication title -
al-banǧ. maqālāt wa abḥāṯ fī al-taẖdīr wa-al-in’āš
Language(s) - English
Resource type - Journals
ISSN - 0259-1162
DOI - 10.4103/0259-1162.150191
Subject(s) - medicine , anesthesia , phenylephrine , ephedrine , substance abuse , spinal anesthesia , stimulant , population , blood pressure , psychiatry , environmental health
Although mephentermine (Termin) and ephedrine are commonly used drugs for the treatment of hypotension during anesthesia but their abuse have markedly increased, especially in the young population due to its stimulant properties. Here, we report a case of 23-year-old man with a history of chronic mephentermine abuse, posted for Achilles tendon repair under spinal anesthesia. During intraoperative period, spinal induced hypotension showed unusual resistance to ephedrine boluses and was managed by using directly acting vasoconstrictor, that is, phenylephrine.