An Uncommon Cause of Intraoperative Hypotension: Delayed Red Man Syndrome

Intraoperative hypotension is commonly encountered under anesthesia. Varied causation of intraoperative hypotension can often delay the recognition of its cause. Vancomycin, a bactericidal antibiotic and often used in neurosurgical setting, is known to cause “red man syndrome.” Prompt recognition of...

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Main Authors: Shilpa V. Nagmoti, Unnikrishnan Prathapadas, Ajay P. Hrishi
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2019-01-01
Series:Journal of Neuroanaesthesiology and Critical Care
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1674266
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author Shilpa V. Nagmoti
Unnikrishnan Prathapadas
Ajay P. Hrishi
author_facet Shilpa V. Nagmoti
Unnikrishnan Prathapadas
Ajay P. Hrishi
author_sort Shilpa V. Nagmoti
collection DOAJ
description Intraoperative hypotension is commonly encountered under anesthesia. Varied causation of intraoperative hypotension can often delay the recognition of its cause. Vancomycin, a bactericidal antibiotic and often used in neurosurgical setting, is known to cause “red man syndrome.” Prompt recognition of the etiology for intraoperative hypotension could be challenging in intraoperative setting. We present a case of intraoperative hypotension in a patient undergoing endoscopic skull base surgery, which was caused by a delayed red man syndrome. Delayed red man syndrome is a rare clinical entity and must be borne in mind while evaluating a case of intraoperative hypotension in patients who are on vancomycin therapy.
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spelling doaj.art-f1bb807ee852458aa8de92ccb01778042022-12-22T01:34:57ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neuroanaesthesiology and Critical Care2348-05482348-926X2019-01-01060104004210.1055/s-0038-1674266An Uncommon Cause of Intraoperative Hypotension: Delayed Red Man SyndromeShilpa V. Nagmoti0Unnikrishnan Prathapadas1Ajay P. Hrishi2Division of Neuroanaesthesia, Department of Anaesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, IndiaDivision of Neuroanaesthesia, Department of Anaesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, IndiaDivision of Neuroanaesthesia, Department of Anaesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, IndiaIntraoperative hypotension is commonly encountered under anesthesia. Varied causation of intraoperative hypotension can often delay the recognition of its cause. Vancomycin, a bactericidal antibiotic and often used in neurosurgical setting, is known to cause “red man syndrome.” Prompt recognition of the etiology for intraoperative hypotension could be challenging in intraoperative setting. We present a case of intraoperative hypotension in a patient undergoing endoscopic skull base surgery, which was caused by a delayed red man syndrome. Delayed red man syndrome is a rare clinical entity and must be borne in mind while evaluating a case of intraoperative hypotension in patients who are on vancomycin therapy.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1674266vancomycinhypotensionneurosurgery
spellingShingle Shilpa V. Nagmoti
Unnikrishnan Prathapadas
Ajay P. Hrishi
An Uncommon Cause of Intraoperative Hypotension: Delayed Red Man Syndrome
Journal of Neuroanaesthesiology and Critical Care
vancomycin
hypotension
neurosurgery
title An Uncommon Cause of Intraoperative Hypotension: Delayed Red Man Syndrome
title_full An Uncommon Cause of Intraoperative Hypotension: Delayed Red Man Syndrome
title_fullStr An Uncommon Cause of Intraoperative Hypotension: Delayed Red Man Syndrome
title_full_unstemmed An Uncommon Cause of Intraoperative Hypotension: Delayed Red Man Syndrome
title_short An Uncommon Cause of Intraoperative Hypotension: Delayed Red Man Syndrome
title_sort uncommon cause of intraoperative hypotension delayed red man syndrome
topic vancomycin
hypotension
neurosurgery
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1674266
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