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[Left heart failure in anesthesia in a child pretreated with propranolol--case report]
R Wagner1, B von Hundelshausen, G Tempel
1Institut für Anaesthesiologie, Technischen Universität München, Klinikum rechts der Isar.
Anaesthesiologie Und Reanimation
|January 1, 1994
Abstract:
A 13-year-old girl suffering from nephrogenic hypertension, treated with high-dose propranolol and other antihypertensive medication, developed acute hypoxaemia (oxygen saturation at 60% at 100% oxygen ventilation) shortly after induction of anaesthesia. The auscultatory findings first suggested bronchospasm; however, specific measures failed to improve pulmonary function. The planned procedure was delayed and further investigations showed acute left heart failure due to beta-blockade combining with general anaesthesia.