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Stanford Health Care

Clevidipine-Induced Extreme Hypoxemia in a Neurosurgical Patient: A Case Report. A&A practice Short, J. H., Fatemi, P., Ruoss, S., Angelotti, T. 2019

Abstract

Clevidipine-induced pulmonary shunting is a little-reported adverse effect, manifesting as refractory hypoxemia, which may cause significant patient harm. We present the case of a mechanically ventilated patient admitted to the intensive care unit following a neurosurgical procedure. He was treated postoperatively with clevidipine for blood pressure management, and within 16 hours, he developed profound refractory hypoxemia, requiring increased ventilatory support. A workup for other causes was negative. The hypoxemia recovered within 1 hour of clevidipine discontinuation. Though other calcium channel blockers have been reported to cause pulmonary shunting from vasodilation, this is a novel case report for clevidipine-induced hypoxemia.

View details for DOI 10.1213/XAA.0000000000001146

View details for PubMedID 31770132