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.
Publication types
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Case Reports
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English Abstract
MeSH terms
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Adolescent
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Anesthesia, General*
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Catheters, Indwelling
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Drug Therapy, Combination
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Female
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Heart Failure / chemically induced*
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Heart Failure / diagnosis
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Hemodynamics / drug effects
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Humans
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Hypertension, Renal / drug therapy
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Hypertrophy, Left Ventricular / complications
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Hypertrophy, Left Ventricular / diagnosis
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Intraoperative Complications / chemically induced*
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Intraoperative Complications / diagnosis
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Kidney Failure, Chronic / surgery
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Preanesthetic Medication*
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Propranolol / administration & dosage
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Propranolol / adverse effects*