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Rev. Soc. Esp. Dolor ; 26(4): 243-246, jul.-ago. 2019. ilus, tab
Article in Spanish | IBECS | ID: ibc-191041

ABSTRACT

El síndrome de sensibilidad química múltiple (SQM), también conocido como intolerancia ambiental idiopática (IAI), entre otros, es un desorden complejo y mal definido que produce diversos síntomas en respuesta a diferentes estímulos. No hay estudios válidos que establezcan la patogénesis de este síndrome. El manejo anestésico de estos pacientes es un reto para los anestesiólogos, dado que no hay unas pautas de actuación establecidas. Se presenta un caso de cirugía exitosa en una paciente afecta de SQM realizándose una anestesia total intravenosa (TIVA) convencional a la que se añadió una premedicación exhaustiva y la aplicación del protocolo de alergia al látex


The multiple chemical sensitivity syndrome (MCS), also known as idiopathic environmental intolerance (IAI), among others, is a complex and poorly defi ned disorder that produces various symptoms in response to various stimuli. There is a lack of valid studies that establish the pathogenesis of this syndrome. The anesthetic management of these patients is a challenge for anesthesiologists, due to the fact that there are no established guidelines. We present a case of successful surgery in a patient that suffers from MCS by performing a conventional TIVA enhanced with a thorough premedication and the latex allergy protocol


Subject(s)
Humans , Female , Middle Aged , Multiple Chemical Sensitivity/complications , Anesthesia/methods , Hysterectomy/methods , Adnexa Uteri/pathology , Ovarian Neoplasms/surgery , Environmental Illness/complications , Anesthetics/administration & dosage , Adnexa Uteri/surgery , Ovarian Neoplasms/complications , Premedication/methods , Latex Hypersensitivity/prevention & control
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