An Uncommon Cause of Intraoperative Hypotension: Delayed Red Man Syndrome

Shilpa V. Nagmoti; Unnikrishnan Prathapadas; Ajay P. Hrishi

doi:10.1055/s-0038-1674266

Journal of Neuroanaesthesiology and Critical Care, Table of Contents

CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2019; 06(01): 040-042
DOI: 10.1055/s-0038-1674266

Case Report

Indian Society of Neuroanaesthesiology and Critical Care

An Uncommon Cause of Intraoperative Hypotension: Delayed Red Man Syndrome

Authors

Shilpa V. Nagmoti

¹Division of Neuroanaesthesia, Department of Anaesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India
Unnikrishnan Prathapadas

¹Division of Neuroanaesthesia, Department of Anaesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India
Ajay P. Hrishi

¹Division of Neuroanaesthesia, Department of Anaesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India

Abstract

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.

Keywords

vancomycin - hypotension - neurosurgery

Full Text

References

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