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Anaphylaxis induced by hydroxyethyl starch during general anesthesia -A case report-

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Affiliated Author(s)
김현지김세영김진모
Alternative Author(s)
Kim, Hyun JeeKim, Sae YoungKim, Jin Mo
Journal Title
Korean Journal of Anesthesiology
ISSN
2005-6419
Issued Date
2012
Keyword
AnaphylaxisBronchospasmErythemaHydroxyethyl starch
Abstract
Hydroxyethyl starch (HES) solutions are synthetic non-protein colloid solutions used to treat hypovolemia. However, their use is not free from the risk of allergic reactions. A 42-year-old male was scheduled to undergo aortic-iliac-femoral bypass surgery for the treatment of arteriosclerosis obliterans. He had no history of allergy. Two hours after the start of surgery, and within minutes after HES administration, facial erythema, hypotension and bronchospasm developed. HES infusion was discontinued under the estimation of anaphylaxis. The patient received phenylephrine, ephedrine, diphenhydramine and hydrocortisone with hydration. After restoration of vital signs, surgery was performed without complications.
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Publisher
School of Medicine
Citation
Hyun Jee Kim et al. (2012). Anaphylaxis induced by hydroxyethyl starch during general anesthesia -A case report-. Korean Journal of Anesthesiology, 63(3), 260–262. doi: 10.4097/kjae.2012.63.3.260
Type
Article
ISSN
2005-6419
DOI
10.4097/kjae.2012.63.3.260
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/36120
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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