Severe Dextran-Induced Anaphylactic Shock during Induction of Hypertension-Hypervolemia-Hemodilution Therapy following Subarachnoid Hemorrhage
المؤلفون المشاركون
Shiratori, Tohru
Sato, Atsushi
Fukuzawa, Masao
Kondo, Naoko
Tanno, Shogo
المصدر
العدد
المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2015-06-11
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Dextran is a colloid effective for volume expansion; however, a possible side effect of its use is anaphylaxis.
Dextran-induced anaphylactoid reaction (DIAR) is a rare but severe complication, with a small dose of dextran solution sufficient to induce anaphylaxis.
An 86-year-old female who underwent clipping for a ruptured cerebral aneurysm was admitted to the intensive care unit.
Prophylactic hypertension-hypervolemia-hemodilution therapy was induced for cerebral vasospasm following a subarachnoid hemorrhage.
The patient went into severe shock after administration of dextran for volume expansion, and dextran administration was immediately discontinued.
The volume administered at that time was only 0.8 mL at the most.
After fluid resuscitation with a crystalloid solution, circulatory status began to recover.
However, cerebral vasospasm occurred and the patient’s neurological condition deteriorated.
Five weeks after the shock, she was diagnosed with hypersensitivity to dextran by a skin test.
When severe hypotension occurs after dextran administration, appropriate treatments for shock should be performed immediately with discontinuation of dextran solution.
Although colloid administration is recommended in some guidelines and researches, it is necessary to consider concerning the indication for volume expansion as well as the risk of colloid administration.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Shiratori, Tohru& Sato, Atsushi& Fukuzawa, Masao& Kondo, Naoko& Tanno, Shogo. 2015. Severe Dextran-Induced Anaphylactic Shock during Induction of Hypertension-Hypervolemia-Hemodilution Therapy following Subarachnoid Hemorrhage. Case Reports in Critical Care،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1058222
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Shiratori, Tohru…[et al.]. Severe Dextran-Induced Anaphylactic Shock during Induction of Hypertension-Hypervolemia-Hemodilution Therapy following Subarachnoid Hemorrhage. Case Reports in Critical Care No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1058222
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Shiratori, Tohru& Sato, Atsushi& Fukuzawa, Masao& Kondo, Naoko& Tanno, Shogo. Severe Dextran-Induced Anaphylactic Shock during Induction of Hypertension-Hypervolemia-Hemodilution Therapy following Subarachnoid Hemorrhage. Case Reports in Critical Care. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1058222
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1058222
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر