Unilateral mydriasis secondary to ipratropium bromide in a critically ill patient

Unilateral dilated pupil in a critical patient under sedation is an important clinical sign that requires prompt evaluation. An exhaustive assessment must be performed, including neurological examination and imaging tests, and pharmacological causes must be ruled out. We describe a case of unilatera...

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Bibliographic Details
Main Authors: Luciano Santana-Cabrera, Ernesto José Fernández-Tagarro, Beatriz del Amo-Nolasco, Nieves Jaén-Sánchez, Juan José Cáceres-Agra
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Journal of Emergencies, Trauma and Shock
Subjects:
Online Access:http://www.onlinejets.org/article.asp?issn=0974-2700;year=2012;volume=5;issue=2;spage=199;epage=200;aulast=Santana-Cabrera
Description
Summary:Unilateral dilated pupil in a critical patient under sedation is an important clinical sign that requires prompt evaluation. An exhaustive assessment must be performed, including neurological examination and imaging tests, and pharmacological causes must be ruled out. We describe a case of unilateral fixed dilated pupil secondary to the administration of a nebulized cholinergic antagonist, ipratropium bromide, in an unconscious patient.
ISSN:0974-2700