• Anesth Essays Res · Jan 2015

    Uncommon drug abuse: An anesthetist dilemma.

    • Kewal Krishan Gupta, Amanjot Singh, Gurpreet Singh, and Shobha Aggarwal.
    • Department of Anaesthesiology and Intensive Care, GGS Medical College and Hospital, Faridkot, Punjab, India.
    • Anesth Essays Res. 2015 Jan 1; 9 (1): 116-7.

    AbstractAlthough mephentermine (Termin) and ephedrine are commonly used drugs for the treatment of hypotension during anesthesia but their abuse have markedly increased, especially in the young population due to its stimulant properties. Here, we report a case of 23-year-old man with a history of chronic mephentermine abuse, posted for Achilles tendon repair under spinal anesthesia. During intraoperative period, spinal induced hypotension showed unusual resistance to ephedrine boluses and was managed by using directly acting vasoconstrictor, that is, phenylephrine.

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