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Keimyung Medical Journal 2015;34(1):84-87.
Published online June 30, 2015.
Sudden Hypotension Following Electrocauterization during Pneumonectomy under General Anesthesia.
Hye Jin Choi, Sung Mi Jung, Sang Jin Park
Department of Anesthesiology and Pain Medicine, College of Medicine, Yeungnam University, Daegu, Korea. apsj0718@naver.com
Abstract
A 67-year-old man who was diagnosed lung cancer underwent open thoracotomy for left pneumonectomy. For bleeding control, cauterization of hilar site provoked severe hypotension. There were no reasons falling blood pressure such as condition of massive bleeding, excessively deep anesthesia, anaphylaxis or arrhythmia, etc. After interruption of the manipulation, the normal blood pressure returned spontaneously. With the suspicion that the touch of the hilar tissue have induced the hypotension, we used an electrical current carefully; however, the repeat hypotension occurred again and recoverd soon. We conclude that the electrocautery procedures near the hilum may induce the profound hypotension.
Key Words: General anesthesia, Hilum, Hypotension, Pneumonectomy, Reflex
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