RESUMO
Differentiating between anaphylaxis and hypotension during general anaesthesia is difficult, especially when patients present with only hypotension and without any of the other classical features of anaphylaxis. We report the successful management of an anaphylactic reaction to rocuronium that presented as isolated hypotension in a 45-year-old Indonesian man presented with lacerations on the scalp and right pinna caused by an assault to the head after the induction of general anaesthesia, refractory to fluids and high doses of vasopressors. This case highlights that a possible indicator of anaphylaxis can be the presence of isolated hypotension during.
Assuntos
Anafilaxia , Hipotensão , Anafilaxia/induzido quimicamente , Anafilaxia/tratamento farmacológico , Anestesia Geral/efeitos adversos , Humanos , Hipotensão/induzido quimicamente , Indonésia , Masculino , Pessoa de Meia-Idade , RocurônioRESUMO
Heavy metal contamination in seafood is of great concern in places suffering from pollution. A survey has been carried out since 1986 to monitor the contents of seven heavy metals: antimony, arsenic, cadmium, chromium, lead, mercury and tin in oyster and other types of seafood. The daily intakes were estimated and compared to the Provisional Tolerable Weekly Intake (PTWI) or maximum acceptable daily load recommended by FAO/WHO Expert Committee on Food Additives (1984). In general, the levels were low and left comfortable margins to both the acceptable limits and the local regulatory levels with the exception of arsenic, the average intake of which was close to the PTWI.
