Asunto(s)
Ciclobutanos/farmacocinética , Inhibidores de la Monoaminooxidasa/efectos adversos , Cavidad Nasal/cirugía , Síndrome de la Serotonina/prevención & control , Anestesia por Inhalación/métodos , Ciclobutanos/uso terapéutico , Esquema de Medicación , Interacciones Farmacológicas , Femenino , Estudios de Seguimiento , Semivida , Humanos , Inhibidores de la Monoaminooxidasa/administración & dosificación , Procedimientos Quirúrgicos Otorrinolaringológicos/métodos , Cuidados Preoperatorios , Medición de Riesgo , Síndrome de la Serotonina/inducido químicamente , Síndromes de la Apnea del Sueño/diagnóstico , Síndromes de la Apnea del Sueño/tratamiento farmacológicoRESUMEN
We describe two cases of unexpected perineal pain immediately after intravenous injection of fentanyl and dexamethasone (100 microg and 8 mg respectively) during induction of general anaesthesia. In both cases the pain was immediate (onset within 30 seconds), severe, localized to the genital region and of shooting and burning character No other clinical signs or symptoms were observed in either case and both patients made an uneventful recovery without neurological sequelae. We review the existing literature on perineal pain as an adverse effect of intravenous corticosteroid esters and recommend their administration either in diluted form or after induction of general anaesthesia.
Asunto(s)
Dexametasona/efectos adversos , Fentanilo/efectos adversos , Dolor/inducido químicamente , Náusea y Vómito Posoperatorios/prevención & control , Adulto , Dexametasona/administración & dosificación , Femenino , Fentanilo/administración & dosificación , Estudios de Seguimiento , Humanos , Inyecciones Intravenosas , Masculino , Dolor/fisiopatología , Dimensión del Dolor , Perineo , Índice de Severidad de la Enfermedad , Tonsilectomía/métodosRESUMEN
A case of airway obstruction in advanced pregnancy is presented. The patient was successfully managed with an awake fibreoptic intubation performed orally followed by a caesarean section and thyroidectomy as a combined procedure. On resection, a thyroid gland weighing 370 g was removed. The patient made an uneventful recovery.
