Management of Cold‐Induced Urticaria During Cardiac Surgery

General body cooling and local hypothermia during cardiopulmonary bypass in theory could precipitate a severe systemic anaphylaxis in the case of cold‐induced urticaria. We present a case of cold‐induced urticaria and describe how preanesthetic single‐dose steroid, H2 antagonist, and antihistamine,...

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Veröffentlicht in:	Journal of cardiac surgery 2011-03, Vol.26 (2), p.158-159
Hauptverfasser:	Booth, Karen, Parissis, H.
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Body Temperature Cardiopulmonary Bypass - adverse effects Cardiopulmonary Bypass - methods Coronary Artery Bypass Coronary Disease - surgery Female Follow-Up Studies Humans Hypothermia, Induced - adverse effects Intraoperative Care - methods Urticaria - etiology Urticaria - physiopathology Urticaria - therapy
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Zusammenfassung:	General body cooling and local hypothermia during cardiopulmonary bypass in theory could precipitate a severe systemic anaphylaxis in the case of cold‐induced urticaria. We present a case of cold‐induced urticaria and describe how preanesthetic single‐dose steroid, H2 antagonist, and antihistamine, normothermic retrograde, and antegrade cardioplegia administration were all employed with normothermic conditions in the prevention of life‐threatening anaphylaxis during coronary artery bypass grafting. (J Card Surg 2011;26:158‐159)
ISSN:	0886-0440 1540-8191
DOI:	10.1111/j.1540-8191.2010.01176.x