Anaphylactic reaction with hydroxyethyl starch during anesthesia: A case report
Anesthesia and Pain Medicine
; : 412-415, 2019.
Article
de En
| WPRIM
| ID: wpr-785368
Bibliothèque responsable:
WPRO
ABSTRACT
BACKGROUND: Hydroxyethyl starch (HES), a class of synthetic colloid solutions, has been widely used to treat perioperative hypovolemia. The use of HES, however, is associated with the risk of allergic reactions.CASE: An 83-year-old man was scheduled to undergo an open reduction and internal fixation of a pertrochanteric fracture under spinal anesthesia. He had no history of allergy. Five minutes after HES administration, hypotension, agitation, and skin rash were developed. HES infusion was terminated due to a suspected anaphylactic reaction. The vital signs recovered following administration of phenylephrine, dexamethasone, and hydrocortisone. Serum tryptase and total immunoglobulin E levels were elevated in plasma samples collected following the commencement of the allergic reaction during surgery.CONCLUSIONS: In the present report, the risk of anaphylactic reaction with HES and the laboratory tests needed to support the diagnosis are highlighted.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Phényléphrine
/
Plasma sanguin
/
Amidon
/
Immunoglobuline E
/
Immunoglobulines
/
Dexaméthasone
/
Hydrocortisone
/
Colloïdes
/
Hypovolémie
/
Diagnostic
Type d'étude:
Diagnostic_studies
Limites du sujet:
Aged
/
Aged80
/
Humans
langue:
En
Texte intégral:
Anesthesia and Pain Medicine
Année:
2019
Type:
Article