A patient with Churg-Strauss syndrome complicated with pulmonary hemoptysis

Airway evaluation demonstrated a Mallampati score of I. Laboratory tests were all normal except for eosinophilia in complete blood count. Compared to other opioids, fentanyl rarely causes histamine release and thus can be used for increasing depth of anesthesia in patients with asthma [4]. [...]it s...

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Veröffentlicht in:Journal of clinical anesthesia 2016-05, Vol.30, p.6-7
Hauptverfasser: Bali, Cagla, MD, Ozmete, Ozlem, MD, Ergenoglu, Pinar, Gedikoglu, Murat, MD, Aribogan, Anis, MD
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Sprache:eng
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Zusammenfassung:Airway evaluation demonstrated a Mallampati score of I. Laboratory tests were all normal except for eosinophilia in complete blood count. Compared to other opioids, fentanyl rarely causes histamine release and thus can be used for increasing depth of anesthesia in patients with asthma [4]. [...]it should be keep in mind that CSS is a multisystemic disorder; we are of the opinion that using medications with no stimulant effect on airways, performing intubation and extubation at sufficient depth of anesthesia, and selecting sugammadex instead of anticholinesterase drugs to avoid bronchospasm at the extubation stage will be more convenient for CSS patients.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2015.11.015