Anaphylactoid response to optison(R) and its effects on pulmonary function in two dogs

Two of 26 anesthetized dogs given the cardiac echo-enhancing agent Optison(R) showed anaphylactoid responses (AR) related to the human albumin component of this agent. The episodes of AR were self-limited, and could be reproduced by human albumin injec-tion alone. Gas exchange was maintained by mech...

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Veröffentlicht in:Journal of Veterinary Medical Science 2004, Vol.66(11), pp.1429-1432
Hauptverfasser: Yamaya, Y. (University of California, San Diego (USA)), Niizeki, K, Kim, J, Entin, P, Wagner, H, Wagner, P.D
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container_end_page 1432
container_issue 11
container_start_page 1429
container_title Journal of Veterinary Medical Science
container_volume 66
creator Yamaya, Y. (University of California, San Diego (USA))
Niizeki, K
Kim, J
Entin, P
Wagner, H
Wagner, P.D
description Two of 26 anesthetized dogs given the cardiac echo-enhancing agent Optison(R) showed anaphylactoid responses (AR) related to the human albumin component of this agent. The episodes of AR were self-limited, and could be reproduced by human albumin injec-tion alone. Gas exchange was maintained by mechanical ventilation and 5 cm H2O PEEP, and dispersion of ventilation remained normal during AR despite severe hypotension. We suggest that: (1) pre-screening by measuring blood pressure response to intravenous injection of small doses of Optison(R). and (2) availability of access to the airway in addition to emergency agents may be prudent preventive mea-sures when Optison(R) is used in animals to enhance echocardiographic imaging.
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subjects ALBUMINS
Albumins - adverse effects
ANAPHYLACTIC REACTIONS
Anaphylaxis - chemically induced
Anaphylaxis - physiopathology
Anaphylaxis - veterinary
Animals
BLOOD PRESSURE
Contrast Media - adverse effects
Dog Diseases - chemically induced
Dog Diseases - physiopathology
DOGS
DRUGS
Fluorocarbons - adverse effects
GAS EXCHANGE
Hemodynamics - drug effects
human albumin
hypotension
Male
Pulmonary Gas Exchange - drug effects
Vascular Resistance - drug effects
title Anaphylactoid response to optison(R) and its effects on pulmonary function in two dogs
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