Oral ephedrine is useful to wean patients off long term parenteral vasopressors after cervical spinal cord injury

  • Muhammad Faisal Khan Department of Anesthesiology, Aga Khan University Hospital, Stadium Road, P.O. Box 3500, Karachi 74800, (Pakistan)
  • Khalid Maudood Siddiqui Department of Anesthesiology, Aga Khan University Hospital, Stadium Road, P.O. Box 3500, Karachi 74800, (Pakistan)
  • Muhammad Ali Asghar Department of Anesthesiology, Aga Khan University Hospital, Stadium Road, P.O. Box 3500, Karachi 74800, (Pakistan)
  • Hameed Ullah Department of Anesthesiology, Aga Khan University Hospital, Stadium Road, P.O. Box 3500, Karachi 74800, (Pakistan)
Keywords: Cervical spinal cord injury (SCI), Vasopressor, Oral ephedrine, Critical care

Abstract

Traumatic spinal cord injury (SCI) in young adults not only increases the risk of mortality but more commonly it complicates with life-long disability. Cervical SCI patients are particularly susceptible and sensitive to phases of cardiovascular instability and respiratory failure directly consequential from their injuries. Furthermore, long term vasopressor requirement is not uncommon though weaning from parenteral vasopressor is a challenge.
We document a case of the use of oral ephedrine, which we used to wean our patient from parenteral vasopressors. Oral ephedrine can be an appropriate option to get rid of long term use of infusion of vasopressor.

Published
01-20-2019
How to Cite
Khan, M. F., Siddiqui, K. M., Asghar, M. A., & Ullah, H. (2019). Oral ephedrine is useful to wean patients off long term parenteral vasopressors after cervical spinal cord injury. Anaesthesia, Pain & Intensive Care, 380-382. Retrieved from https://mail.apicareonline.com/index.php/APIC/article/view/125
Section
Case Reports