Anaes Cases · Anaphylaxis under anaesthesia
Cardiac arrest from perioperative anaphylaxis
The hot anaphylaxis crisis — the cardiac arrest from perioperative anaphylaxis, the immediate adrenaline (cardiac arrest dose), the CPR, the fluid, and the modified approach (prolonged CPR, early vasopressor infusion, tryptase).
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Prompt
Three minutes after induction with propofol, rocuronium and cefazolin, a patient's blood pressure collapses, she develops ventricular tachycardia and loses her pulse. Manage.
Presentation
Three minutes after induction with propofol, rocuronium and cefazolin, a 40-year-old woman's blood pressure falls from 120 to unrecordable, her heart rate rises to 140, then her ECG degenerates into ventricular tachycardia and she loses her central pulse.
References1ShowHide
- [1]Harper NJN, Cook TM, Garcez T, et al. Anaesthesia, surgery, and life-threatening allergic reactions: management and outcomes in the 6th National Audit Project (NAP6). British Journal of Anaesthesia, 2018.PMID 29935569