Cardiac arrest after oxymetazoline nasal spray.

Abstract:

:Oxymetazoline nasal spray is a potent alpha 1-adrenergic agonist commonly used to vasoconstrict blood vessels in the nasal mucosa. In this incident, oxymetazoline nasal spray 0.025% was administered to a 2-year-old patient during general anesthesia for nasal endoscopy. Severe hypertension with reflex bradycardia progressed to sinus arrest and was successfully treated with alropine and cardiopulmonary resuscitation. Decreasing the dose of oxymetazoline and pretreatment with an anticholinergic is recommended.

journal_name

J Clin Anesth

authors

Thrush DN

doi

10.1016/0952-8180(95)00060-u

subject

Has Abstract

pub_date

1995-09-01 00:00:00

pages

512-4

issue

6

eissn

0952-8180

issn

1873-4529

pii

0952-8180(95)00060-U

journal_volume

7

pub_type

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