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PEDIATRIC ANESTHESIA

Prolonged Awakening and Pulmonary Edema After General Anesthesia and Naphazoline Application in an Infant

Ulrike M. Stamer, MD^*, Stephan Buderus, MD, Silke Wetegrove, MD^*, Michael J. Lentze, MD, and Frank Stüber, MD^*

*Department of Anesthesiology and Intensive Care Medicine, and Department of Pediatrics and Poison Control Centre Nordrhein-Westfalen, University of Bonn, Bonn, Germany

Address correspondence and reprint requests to Ulrike M. Stamer, MD, Department of Anesthesiology and Intensive Care Medicine, University of Bonn, Sigmund-Freud-Str. 25, 53105 Bonn, Germany. Address e-mail to stamer{at}mailer.meb.uni-bonn.de

IMPLICATIONS: Naphazoline intoxication by intrabronchial overdose caused prolonged unconsciousness of an 18-mo-old child after general anesthesia for tracheal rigid bronchoscopy. The leading symptoms were side effects involving the cardiovascular, pulmonary, and central nervous systems. Intensive care unit admission with the need for mechanical ventilation was necessary. Recovery was uneventful.

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