Anaphylactic shock lasting 4 days
We present a case of a 62 year-old male scheduled for radical cystectomy, who, ten minutes into the surgery, presented with severe hypotension, tachycardia and increased airway pressure. There was no response to the administration of vasoactive drugs such as, ephedrine, phenylephrine, dopamine and n...
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| Veröffentlicht in: | Revista española de anestesiología y reanimación 2014-11, Vol.61 (9), p.517-520 |
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| container_title | Revista española de anestesiología y reanimación |
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| creator | Martínez-Fariñas, P González-Arévalo, A Martínez-Hurtado, E D Chacón, M García del Valle, S |
| description | We present a case of a 62 year-old male scheduled for radical cystectomy, who, ten minutes into the surgery, presented with severe hypotension, tachycardia and increased airway pressure. There was no response to the administration of vasoactive drugs such as, ephedrine, phenylephrine, dopamine and norepinephrine. After ruling out several causes, we evaluated the possibility of an anaphylactic reaction. Adrenaline was given, and the patient stabilized. An adrenaline infusion and mechanical ventilation was required for four days in the critical care unit. |
| doi_str_mv | 10.1016/j.redar.2013.09.017 |
| format | Article |
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There was no response to the administration of vasoactive drugs such as, ephedrine, phenylephrine, dopamine and norepinephrine. After ruling out several causes, we evaluated the possibility of an anaphylactic reaction. Adrenaline was given, and the patient stabilized. An adrenaline infusion and mechanical ventilation was required for four days in the critical care unit.</description><identifier>EISSN: 2340-3284</identifier><identifier>DOI: 10.1016/j.redar.2013.09.017</identifier><identifier>PMID: 24246959</identifier><language>spa</language><publisher>Spain</publisher><subject>Anaphylaxis - blood ; Anaphylaxis - diagnosis ; Anaphylaxis - drug therapy ; Anaphylaxis - etiology ; Cystectomy ; Ephedrine - therapeutic use ; Epinephrine - therapeutic use ; Humans ; Immunoglobulin E - immunology ; Intraoperative Complications - blood ; Intraoperative Complications - diagnosis ; Intraoperative Complications - drug therapy ; Intraoperative Complications - etiology ; Latex Hypersensitivity - blood ; Latex Hypersensitivity - diagnosis ; Latex Hypersensitivity - drug therapy ; Latex Hypersensitivity - etiology ; Male ; Middle Aged ; Postoperative Complications - blood ; Postoperative Complications - diagnosis ; Postoperative Complications - drug therapy ; Postoperative Complications - etiology ; Time Factors ; Tryptases - blood</subject><ispartof>Revista española de anestesiología y reanimación, 2014-11, Vol.61 (9), p.517-520</ispartof><rights>Copyright © 2013 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. 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There was no response to the administration of vasoactive drugs such as, ephedrine, phenylephrine, dopamine and norepinephrine. After ruling out several causes, we evaluated the possibility of an anaphylactic reaction. Adrenaline was given, and the patient stabilized. An adrenaline infusion and mechanical ventilation was required for four days in the critical care unit.</description><subject>Anaphylaxis - blood</subject><subject>Anaphylaxis - diagnosis</subject><subject>Anaphylaxis - drug therapy</subject><subject>Anaphylaxis - etiology</subject><subject>Cystectomy</subject><subject>Ephedrine - therapeutic use</subject><subject>Epinephrine - therapeutic use</subject><subject>Humans</subject><subject>Immunoglobulin E - immunology</subject><subject>Intraoperative Complications - blood</subject><subject>Intraoperative Complications - diagnosis</subject><subject>Intraoperative Complications - drug therapy</subject><subject>Intraoperative Complications - etiology</subject><subject>Latex Hypersensitivity - blood</subject><subject>Latex Hypersensitivity - diagnosis</subject><subject>Latex Hypersensitivity - drug therapy</subject><subject>Latex Hypersensitivity - etiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications - blood</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Complications - drug therapy</subject><subject>Postoperative Complications - etiology</subject><subject>Time Factors</subject><subject>Tryptases - blood</subject><issn>2340-3284</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j01Lw0AYhBdBbGn7CwSJNy-J77tf3T2WolUo9KLnsF-xqfkymxzy7w1Y5zIwPAwzhNwjZAgony9ZH7zpMwrIMtAZ4PaGLCnjkDKq-IJsYrzALCmAcnFHFpRTLrXQS_K4a0x3nirjhtIl8dy676QycSibr4Qn3kxxTW4LU8WwufqKfL6-fOzf0uPp8L7fHdMOOQ4pp1hwZgsQoBAMeiUCC_MUH4wz1llbWOe5ssWWWg2OCSd0mCfjHHuFbEWe_nq7vv0ZQxzyuowuVJVpQjvGHCXVWmqp-Iw-XNHR1sHnXV_Wpp_y_1vsF6mETj4</recordid><startdate>201411</startdate><enddate>201411</enddate><creator>Martínez-Fariñas, P</creator><creator>González-Arévalo, A</creator><creator>Martínez-Hurtado, E D</creator><creator>Chacón, M</creator><creator>García del Valle, S</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201411</creationdate><title>Anaphylactic shock lasting 4 days</title><author>Martínez-Fariñas, P ; 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| ispartof | Revista española de anestesiología y reanimación, 2014-11, Vol.61 (9), p.517-520 |
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| language | spa |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Anaphylaxis - blood Anaphylaxis - diagnosis Anaphylaxis - drug therapy Anaphylaxis - etiology Cystectomy Ephedrine - therapeutic use Epinephrine - therapeutic use Humans Immunoglobulin E - immunology Intraoperative Complications - blood Intraoperative Complications - diagnosis Intraoperative Complications - drug therapy Intraoperative Complications - etiology Latex Hypersensitivity - blood Latex Hypersensitivity - diagnosis Latex Hypersensitivity - drug therapy Latex Hypersensitivity - etiology Male Middle Aged Postoperative Complications - blood Postoperative Complications - diagnosis Postoperative Complications - drug therapy Postoperative Complications - etiology Time Factors Tryptases - blood |
| title | Anaphylactic shock lasting 4 days |
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