Item request has been placed!
×
Item request cannot be made.
×
Processing Request
Nose-Ocomial Pulmonary Edema: A Rare Complication of Oxymetazoline.
Item request has been placed!
×
Item request cannot be made.
×
Processing Request
- Additional Information
- Source:
Publisher: Lippincott Williams & Wilkins for the American Society of Ophthalmic Plastic and Reconstructive Surgery Country of Publication: United States NLM ID: 8508431 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1537-2677 (Electronic) Linking ISSN: 07409303 NLM ISO Abbreviation: Ophthalmic Plast Reconstr Surg Subsets: MEDLINE
- Publication Information:
Publication: 199 - : Hagerstown, MD : Lippincott Williams & Wilkins for the American Society of Ophthalmic Plastic and Reconstructive Surgery
Original Publication: [New York, NY : Raven Press Publishers], c1985-
- Subject Terms:
- Abstract:
A 72-year-old female with epiphora presented for outpatient punctoplasty with probing and lacrimal stent placement. Oxymetazoline was administered intranasally and the case was completed in standard fashion. Postoperatively, the patient desaturated with a workup revealing elevated cardiac enzymes, pulmonary congestion, and sinus bradycardia. However, the final cardiac testing was noncontributory, suggesting flash pulmonary edema secondary to intranasal oxymetazoline. This case highlights a rare presentation of pulmonary compromise secondary to oxymetazoline, emphasizing the importance of intraoperative and postoperative vigilance in simple outpatient procedures.
Competing Interests: The authors have no financial or conflicts of interest to disclose.
(Copyright © 2023 The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc.)
- References:
Hosal BM, Hosal SA, Hurwitz JJ, et al. A rationale for the selection of nasal decongestants in lacrimal drainage surgery. Ophthalmic Plast Reconstr Surg. 1995;11:215–220.
Broujerdi JA, Keifa ES, Nekhendzy V, et al. Flash pulmonary edema: an unusual presentation during orthognathic surgery. Plas Reconstr Surg. 2007;119:133e–137e.
Kademani D, Voiner J, Quinn P. Acute hypertensive crisis resulting in pulmonary edema and myocardial ischemia during orthognathic surgery. J Oral Maxillofac Surg. 2004;62:240–243.
Meyer D. Comparison of oxymetazoline and lidocaine versus cocaine for outpatient dacryocystorhinostomy. Opthalmic Plast Reconstr Surg. 2000;16:2021–2205.
Kalyanaraman M, Carpenter RL, McGlew MJ, et al. Cardiopulmonary compromise after use of topical and submucosal alpha-agonists: possible added complication by the use of beta-blocker therapy. Otolaryngol Head Neck Surg. 1997;117:56–61.
Knoll-Kohler E, Frie A, Becker J, et al. Changes in plasma epinephrine concentration after dental infiltration anesthesia with different doses of epinephrine. J Dent Res. 1989;68:1098–1101.
Schechtman SA, Wertz AP, Shanks A, et al. Preoperative β-blockade and hypertension in the first hour of functional endoscopic sinus surgery. Laryngoscope. 2017;127:1496–1505.
- Accession Number:
8VLN5B44ZY (Oxymetazoline)
- Publication Date:
Date Created: 20230918 Date Completed: 20240304 Latest Revision: 20240708
- Publication Date:
20240709
- Accession Number:
10.1097/IOP.0000000000002529
- Accession Number:
37721321
No Comments.