alexa Accidental intravenous administration of 50 mg of racemic adrenaline in a 2-year-old boy.


Emergency Medicine: Open Access

Author(s): Dybvik T, Halvorsen P, Steen PA

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Abstract A 2-year-old boy received, by mistake, 50 mg racemic adrenaline intravenously, equivalent to 1.8 mg kg-1 of L-adrenaline. The blood pressure increased to 160/105 mmHg, the heart rate to 160 beats min-1, and pulmonary oedema developed over the next 2 h. He was treated with nitroprusside, nitroglycerin and digitoxin, and was intubated and ventilated. After 3 h a hypotensive phase occurred which required infusions of very high concentrations of catecholamines for 72 h. Renal failure required renal transplantation after which the child made an uneventful recovery.
This article was published in Eur J Anaesthesiol and referenced in Emergency Medicine: Open Access

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