Rhinorrhea due to infusion of dexmecetomidine during rhinoplasty: A case report and current literature review

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dc.authorid0000-0003-3917-8183
dc.authorid0000-0002-5273-1871
dc.authorid0000-0002-8920-1516
dc.authorid0000-0001-9928-9956
dc.contributor.authorUludağ Yanaral, Tümay
dc.contributor.authorKaraaslan, Pelin
dc.contributor.authorGüngör, Hande
dc.contributor.authorAtalay, Yunus Oktay
dc.contributor.authorTobias, Joseph Drew
dc.date.accessioned2022-07-21T12:44:03Z
dc.date.available2022-07-21T12:44:03Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
dc.description.abstractDexmedetomidine can be used to achieve controlled hypotension during surgery. A 26-year-old female with no medical history underwent rhinoplasty. The maintenance of the anesthesia was achieved with propofol and dexmedetomidine (1 mcg kg-1 as a loading dose for 10 minutes, followed by 0.5 mcg kg-1 hr-1 as maintenance) infusion as total intravenous anesthesia. Propofol and dexmedetomidine infusion doses were adjusted to maintain a bispectral index of 40-60 and a mean arterial pressure of 55-65 mmHg. During surgery, rhinorrhea developed, which disrupted the view of the surgical field. An intravenous antihistamine and a topical decongestant were administered. However, rhinorrhea persisted, suggesting that it developed as a drug-related adverse effect. Dexmedetomidine was halted. Subsequently, the rhinorrhea decreased, and the quality of the surgical field improved. That was a temporary and reversible side effect, which resulted in no long-term sequela. To the best of our knowledge, this is the first patient who developed rhinorrhea as a side effect of dexmedetomidine infusion during rhinoplasty.
dc.identifier.citationUludağ Yanaral, T., Karaaslan, P., Güngör, H., Atalay, Y. O. ve Tobias, J. D. (2022). Rhinorrhea due to infusion of dexmecetomidine during rhinoplasty: A case report and current literature review. The Medical Bulletin of Haseki, 60(3), 281-283. http://doi.org/10.4274/haseki.galenos.2022.8389
dc.identifier.doi10.4274/haseki.galenos.2022.8389
dc.identifier.endpage283
dc.identifier.issn1302-0072
dc.identifier.issn2147-2688
dc.identifier.issue3
dc.identifier.scopus2-s2.0-85134013710
dc.identifier.scopusqualityQ4
dc.identifier.startpage281
dc.identifier.trdizinidTlRNd09UYzJOZz09
dc.identifier.urihttp://doi.org/10.4274/haseki.galenos.2022.8389
dc.identifier.urihttps://hdl.handle.net/20.500.12511/9593
dc.identifier.volume60
dc.identifier.wos000823150600014en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.institutionauthorUludağ Yanaral, Tümay
dc.institutionauthorKaraaslan, Pelin
dc.institutionauthorGüngör, Hande
dc.institutionauthorAtalay, Yunus Oktay
dc.language.isoen
dc.publisherGalenos Publishing
dc.relation.ispartofThe Medical Bulletin of Hasekien_US
dc.relation.publicationcategoryDiğer
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectControlled Hypotension
dc.subjectDexmedetomidine
dc.subjectRhinoplasty
dc.subjectRhinorrhea
dc.titleRhinorrhea due to infusion of dexmecetomidine during rhinoplasty: A case report and current literature review
dc.typeOther

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