Bronchoconstriction following instillation of phenylephrine eye drops in premature infants with bronchopulmonary dysplasia: two cases report
Premature infants requiring an ophthalmic examination or even surgery for retinopathy of prematurity (ROP) have a high prevalence of co-existing bronchopulmonary dysplasia (BPD). Reactive airway is one of the clinical presentations of BPD. We report two cases of bronchoconstriction following instill...
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doaj-1ba7f9b5eefe4c608683e80f6f13fbf42020-11-25T03:53:06ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632015-12-0168661361610.4097/kjae.2015.68.6.6138132Bronchoconstriction following instillation of phenylephrine eye drops in premature infants with bronchopulmonary dysplasia: two cases reportHyun Jee Kim0Jin Guk Choi1Kyung-Hwa Kwak2Department of Anesthesiology and Pain Medicine, Keimyung University School of Medicine, Daegu, Korea.Department of Anesthesiology and Pain Medicine, Keimyung University School of Medicine, Daegu, Korea.Department of Anesthesiology and Pain Medicine, Kyungpook National University School of Medicine, Daegu, Korea.Premature infants requiring an ophthalmic examination or even surgery for retinopathy of prematurity (ROP) have a high prevalence of co-existing bronchopulmonary dysplasia (BPD). Reactive airway is one of the clinical presentations of BPD. We report two cases of bronchoconstriction following instillation of mydriatic eye drops. One occurred during induction of anesthesia for laser photocoagulation and the other before screening of ROP. The most likely cause in each case was phenylephrine eye drops. We recommend that the minimal dosage of phenylephrine needed to attain proper mydriasis should be instilled to infant patients, and the possibility of bronchoconstriction occurrence kept in mind, especially for infants with low body weight with BPD.http://ekja.org/upload/pdf/kjae-68-613.pdfbronchopulmonary dysplasiabronchoconstrictionphenylephrineretinopathy of prematurity |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hyun Jee Kim Jin Guk Choi Kyung-Hwa Kwak |
spellingShingle |
Hyun Jee Kim Jin Guk Choi Kyung-Hwa Kwak Bronchoconstriction following instillation of phenylephrine eye drops in premature infants with bronchopulmonary dysplasia: two cases report Korean Journal of Anesthesiology bronchopulmonary dysplasia bronchoconstriction phenylephrine retinopathy of prematurity |
author_facet |
Hyun Jee Kim Jin Guk Choi Kyung-Hwa Kwak |
author_sort |
Hyun Jee Kim |
title |
Bronchoconstriction following instillation of phenylephrine eye drops in premature infants with bronchopulmonary dysplasia: two cases report |
title_short |
Bronchoconstriction following instillation of phenylephrine eye drops in premature infants with bronchopulmonary dysplasia: two cases report |
title_full |
Bronchoconstriction following instillation of phenylephrine eye drops in premature infants with bronchopulmonary dysplasia: two cases report |
title_fullStr |
Bronchoconstriction following instillation of phenylephrine eye drops in premature infants with bronchopulmonary dysplasia: two cases report |
title_full_unstemmed |
Bronchoconstriction following instillation of phenylephrine eye drops in premature infants with bronchopulmonary dysplasia: two cases report |
title_sort |
bronchoconstriction following instillation of phenylephrine eye drops in premature infants with bronchopulmonary dysplasia: two cases report |
publisher |
Korean Society of Anesthesiologists |
series |
Korean Journal of Anesthesiology |
issn |
2005-6419 2005-7563 |
publishDate |
2015-12-01 |
description |
Premature infants requiring an ophthalmic examination or even surgery for retinopathy of prematurity (ROP) have a high prevalence of co-existing bronchopulmonary dysplasia (BPD). Reactive airway is one of the clinical presentations of BPD. We report two cases of bronchoconstriction following instillation of mydriatic eye drops. One occurred during induction of anesthesia for laser photocoagulation and the other before screening of ROP. The most likely cause in each case was phenylephrine eye drops. We recommend that the minimal dosage of phenylephrine needed to attain proper mydriasis should be instilled to infant patients, and the possibility of bronchoconstriction occurrence kept in mind, especially for infants with low body weight with BPD. |
topic |
bronchopulmonary dysplasia bronchoconstriction phenylephrine retinopathy of prematurity |
url |
http://ekja.org/upload/pdf/kjae-68-613.pdf |
work_keys_str_mv |
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