Disturbance of consciousness caused by dyclonine hydrochloride mucilage: a case report.
BMC Anesthesiol
; 24(1): 34, 2024 Jan 22.
Article
em En
| MEDLINE
| ID: mdl-38254013
ABSTRACT
BACKGROUND:
Dyclonine hydrochloride mucilage is a topical anaesthetic formulated for mucosal surfaces. It is employed frequently for topical anaesthesia of the pharynx prior to endoscopic examinations such as electronic gastroscopy, and few adverse reactions have been reported. This article describes a patient who experienced a transient but severe disturbance of consciousness following oral dyclonine hydrochloride mucilage administration. CASE PRESENTATION A 75-year-old female presenting with gastrointestinal bleeding was examined by electronic gastroscopy. Six minutes after oral dyclonine hydrochloride mucilage administration, the patient entered a comatose-like state accompanied by loss of limb muscle tone and profuse perspiration. This response was not accompanied by changes in cardiac rhythm, blood pressure, or respiration rate, suggesting an effect on higher brain centres. After ten minutes, the patient's symptoms were alleviated.CONCLUSION:
We suggest that sites of dyclonine hydrochloride mucilage use be equipped with appropriate rescue devices for these rare events.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Propiofenonas
/
Encéfalo
/
Estado de Consciência
Tipo de estudo:
Diagnostic_studies
Idioma:
En
Revista:
BMC Anesthesiol
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
China