Journal of Surgery and Anesthesia

Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine Division of Ambulatory Anesthesia, JHOC B165 Baltimore, Maryland, USA

Publications

• Case Report   
  Occurrence of Takotsubo Cardiomyopathy after Nasal Administration of Lidocaine with Epinephrine in an Outpatient Surgery Center: A Case Report
  Author(s): Giulia Sikorski* and The-Hung Edward Nguyen
  
  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 card.. View more»
  

  Abstract PDF