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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

Shilpa V. Nagmoti
1   Division of Neuroanaesthesia, Department of Anaesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India
,
Unnikrishnan Prathapadas
1   Division of Neuroanaesthesia, Department of Anaesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India
,
Ajay P. Hrishi
1   Division of Neuroanaesthesia, Department of Anaesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India
› Author Affiliations Funding None.
Further Information

Publication History

Received: 10 August 2018

Accepted: 25 August 2018

Publication Date:
25 January 2019 (online)

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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
 

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