Bradycardia and Cardiac Arrest Caused by Intramyometrial Injection of Vasopressin During a Laparoscopically Assisted Myomectomy  

Oleh:

Hobo, Rutsuko ; Netsu, Sachiko ; Koyasu, Yasuki ; Tsutsumi, Osamu

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Obstetrics and Gynecology vol. 113 no. 02 Part 02 (Feb. 2009), page 484.

Ketersediaan

Perpustakaan FK Nomor Panggil: O01.K.2009.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

BACKGROUND: Vasopressin is often used locally to reduce blood loss during surgery. The use of a local infiltration of a low concentration of vasopressin, less than 0.05-0.3 units/mL, has been considered to be safe. The use of low-dose vasopressin is not free of side effects, and it can also sometimes cause lethal complications. CASE: In a healthy woman with multiple uterine myomas, we experienced a case of sudden cardiac arrest immediately after the intramyometrial injection of vasopressin at a total dose of 11 units (0.2 units/mL). The patient was successfully resuscitated. CONCLUSION: Local intramyometrial infiltration of low-dose vasopressin may cause lethal cardiopulmonary complications.

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