Severe hypertension and tachycardia during transforaminal endoscopic discectomy - Is indigocarmine to blame?
Discectomía endoscópica transforaminal
Hemodinámica
Hemodynamics
Indigocarmina
Indigocarmine
Transforaminal endoscopic discectomy
Journal
Neurocirugia (English Edition)
ISSN: 2529-8496
Titre abrégé: Neurocirugia (Astur : Engl Ed)
Pays: Spain
ID NLM: 101778588
Informations de publication
Date de publication:
Historique:
received:
07
01
2018
revised:
22
06
2018
accepted:
29
08
2018
entrez:
8
1
2019
pubmed:
8
1
2019
medline:
24
1
2020
Statut:
ppublish
Résumé
Endoscopic transforaminal discectomy is a minimally invasive technique used for the surgical treatment of herniated discs. Indigocarmine is a dye which is widely used to identify the ureteral orifice in urologic procedures. Hemodynamic effects such as hypotension and anaphylaxis in addition to hypertension, bradycardia and atrioventricular block have been reported in intravenous application of indigocarmine. The aim of this case report is to prepare anesthesiologists for such cases and make them consider invasive blood pressure monitorization. Both patients had radicular pain radiating to the leg and scheduled to undergo transforaminal endoscopic discectomy. Intraoperative vital signs were within normal limits, however severe hypertension and tachyarrhythmia developed following the injection. Hemodynamics in both patients returned to normal following lidocaine and nitroglycerine injection.
Identifiants
pubmed: 30612595
pii: S1130-1473(18)30091-5
doi: 10.1016/j.neucir.2018.08.004
pii:
doi:
Substances chimiques
Coloring Agents
0
Indigo Carmine
D3741U8K7L
Types de publication
Case Reports
Journal Article
Langues
eng
spa
Sous-ensembles de citation
IM
Pagination
50-52Informations de copyright
Copyright © 2018 Sociedad Española de Neurocirugía. Publicado por Elsevier España, S.L.U. All rights reserved.