Occurrence of Takotsubo Cardiomyopathy after Nasal Administration of Lidocaine with Epinephrine

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Journal of Surgery and Anaesthesia is a peer reviewed, open access journal dedicated to publishing research on all aspects of surgery and anaesthesia. This journal aims to keep anaesthesiologists, anaesthetic practitioners, surgeons and surgical researchers up to date by publishing clinical & evidence based research. This scientific Journal leads the specialty in promotion of original research by providing immediate open access to all articles after publication. Journal of Surgery and Anesthesia addresses all aspects of surgery & anesthesia practice, including anesthetic administration, pharmacokinetics, preoperative and postoperative considerations, coexisting disease and other complicating factors, General Surgery, Robotic Surgery, Orthopedic Surgery, GI Surgery, Neurosurgery, Plastic Surgery, Cardiothoracic Surgery, Vascular Surgery, Urology, Surgical Oncology, Radiology, Ophthalmology, Pediatric Surgery, Trauma Services, Minimal Access Surgery, Endocrine Surgery, Colorectal Surgery, Laparoscopic and Endoscopic Techniques and Procedures, Preoperative and Postoperative Patient Management, Complications in Surgery and New Developments in Instrumentation and technology related to surgery, Intra-Operative Regional Anesthesia Administration Techniques, Peri-Operative Pain, Obstetric Anesthesia, Pediatric Anesthesia, General Anesthesia, Sedation, Regional Anesthesia, Outcome Studies and Associated Complications, etc.

We are sharing one of the most cited article from our journal. Article entitled “Occurrence of Takotsubo Cardiomyopathy after Nasal Administration of Lidocaine with Epinephrine” was well written by Dr. Giulia Sikorski.

Abstract

Although outpatient surgeries are safe, providers must always be vigilant for rare, life-threatening conditions that might need immediate diagnosis, treatment, and possible transfer of the patient to a higher level of care. We present the case of a 37-year-old woman who presented to an outpatient center for nasal surgery. Induction of general anesthesia was uneventful. However, after receiving an intranasal injection of local anesthesia with epinephrine Just prior to the surgical incision, she developed profound hypertension and subsequent Cardio vascular instability that required emergent transfer to the emergency department and then an intensive unit care. Transthoracic echocardiography showed marked impairment in cardiac Motion and severely reduced ejection fraction, which improved a few days later and returned to Normal within a month. The patient was diagnosed with Takotsubo cardiomyopathy (TC), a non-Ischemic cardiomyopathy that can result from severe stress. Administration of local anesthetic with epinephrine can lead to TC during common, elective outpatient procedures in healthy ASA 1 patients. In an outpatient surgery center where resources for acute care may be limited, TC should be recognized quickly and treated by the anesthesiologist. Prompt transfer of the patient to an acute care facility can prevent longterm sequelae.

Here is the link to view complete article: https://www.longdom.org/open-access/occurrence-of-takotsubo-cardiomyopathy-after-nasal-administration-of-lidocaine-with-epinephrine-in-an-outpatient-surgery.pdf

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