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British Journal of Anaesthesia, 2002, Vol. 88, No. 3 440-442
© 2002 The Board of Management and Trustees of the British Journal of Anaesthesia


Case Reports

Intraoperative pulmonary oedema in a child following systemic absorption of phenylephrine eyedrops

F. J. Baldwin and A. P. Morley*

Anaesthetic Department, St Thomas’ Hospital, Lambeth Palace Road, London SE1 7EH, UK*Corresponding author

Ophthalmic surgeons often apply phenylephrine topically to effect pupillary dilatation. We describe a paediatric patient in whom cardiac arrhythmias, severe hypertension and pulmonary oedema occurred following intraoperative ocular phenylephrine administration. We believe that systemic absorption of the drug was responsible and discuss ways in which this might be reduced when ocular phenylephrine is used in this context.

Br J Anaesth 2002; 88: 440–2


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N. Ahmed, W. Riad, A. Altorpaq, and A. Zahoor
Ocular phenylephrine 2.5% continues to be dangerous
BMJ Case Reports, March 2, 2009; 2009(mar01_1): bcr0820080795 - bcr0820080795.
[Abstract] [Full Text]



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