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CARDIOVASCULAR ANESTHESIA

Severe Hypotension in a Patient Receiving Pemoline During General Anesthesia

Christian H. Bohringer, MBBS, FANZCA, FFICANZCA^*, Jonathan S. Jahr, MD^*, Susan Rowell, MD, and Kathrin Mayer, MD

Departments of *Anesthesiology and Pain Medicine and Surgery, University of California Davis Medical Center, Sacramento, California

Address correspondence and reprint requests to J. S. Jahr, MD, Department of Anesthesiology, UCDMC, 4150 "V" Street, Suite 1200, Sacramento, CA, 95817.

Implications: This case reports hypotension under general anesthesia in a patient taking pemoline. Vigilance for unexpected hypotension is important in patients who are treated with psychostimulants. If hypotension occurs, vasopressors that act directly on adrenergic receptors should be used.