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Severe refractory hypertension during shoulder arthroscopy
Author(s) -
Ron O. Abrons,
SE Ellis
Publication year - 2016
Publication title -
saudi journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.416
H-Index - 24
eISSN - 1658-354X
pISSN - 0975-3125
DOI - 10.4103/1658-354x.168834
Subject(s) - medicine , epinephrine , saline , refractory (planetary science) , arthroscopy , adverse effect , hemodynamics , surgery , anesthesia , physics , astrobiology
The use of epinephrine-containing saline irrigating solutions during arthroscopic shoulder surgery gained popularity after it was reported that the addition of epinephrine reduced bleeding and improved visualization without adverse cardiovascular effects. We share a case of a patient undergoing shoulder arthroscopy who received a standard intra-articular infusion of epinephrine-containing normal saline (1 mcg/mL) and experienced severe hemodynamic consequences.