Anaphylactic reaction with hydroxyethyl starch during anesthesia: A case report
Anesthesia and Pain Medicine
;
: 412-415, 2019.
Article
in English
| WPRIM
| ID: wpr-785368
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Phenylephrine
/
Plasma
/
Starch
/
Immunoglobulin E
/
Immunoglobulins
/
Dexamethasone
/
Hydrocortisone
/
Colloids
/
Hypovolemia
/
Diagnosis
Type of study:
Diagnostic study
Limits:
Aged
/
Aged80
/
Humans
Language:
English
Journal:
Anesthesia and Pain Medicine
Year:
2019
Type:
Article
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