Rah Kang H, Merkel Ira S
From the Professor Emeritus of Anesthesiology.
Department of Gastroenterology, Rutgers State University of New Jersey, New Brunswick, New Jersey.
A A Pract. 2019 Jan 1;12(1):25-27. doi: 10.1213/XAA.0000000000000835.
We present a rarely described complication of unilateral rhinorrhea and sneezing in a patient who received intravenous sedation with propofol and supplemental oxygen via a nasal cannula during upper gastrointestinal endoscopy. The literature is reviewed and a mechanism is proposed. Mechanical irritation of the nasal mucosa is felt to be the trigger. Suggestions to avoid and to treat are offered.
我们报告了一例在上消化道内镜检查期间接受丙泊酚静脉镇静并通过鼻导管吸氧的患者出现单侧鼻漏和打喷嚏这一罕见并发症的情况。本文对相关文献进行了综述并提出了一种机制。鼻黏膜的机械性刺激被认为是触发因素。同时提供了避免和治疗该并发症的建议。