Journal of Emergencies, Trauma, and Shock
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CASE REPORT
Year : 2012  |  Volume : 5  |  Issue : 2  |  Page : 199-200

Unilateral mydriasis secondary to ipratropium bromide in a critically ill patient


1 Department of Intensive Care, Universitary Hospital Insular in Gran Canaria, Las Palmas de Gran Canaria, Spain
2 Department of Nephrology, Universitary Hospital Insular in Gran Canaria, Las Palmas de Gran Canaria, Spain

Correspondence Address:
Luciano Santana-Cabrera
Department of Intensive Care, Universitary Hospital Insular in Gran Canaria, Las Palmas de Gran Canaria
Spain
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2700.96499

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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.


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