Anaphylactic reaction with hydroxyethyl starch during anesthesia: A case report
Anesthesia and Pain Medicine
; : 412-415, 2019.
Article
em En
| WPRIM
| ID: wpr-785368
Biblioteca responsável:
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.Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Fenilefrina
/
Plasma
/
Amido
/
Imunoglobulina E
/
Imunoglobulinas
/
Dexametasona
/
Hidrocortisona
/
Coloides
/
Hipovolemia
/
Diagnóstico
Tipo de estudo:
Diagnostic_studies
Limite:
Aged
/
Aged80
/
Humans
Idioma:
En
Revista:
Anesthesia and Pain Medicine
Ano de publicação:
2019
Tipo de documento:
Article