Chlorhexidine-related refractory anaphylactic shock: a case successfully resuscitated with extracorporeal membrane oxygenation
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- 作者：Man-Ling Wang ; MDa ; Ching-Tao Chang ; MDa ; Hsing-Hao Huang ; MDa ; Yu-Chang Yeh ; MD ; PhDa (Assistant Professor) ; Tzong-Shiun Lee ; MDa ; Kuan-Yu Hung ; MD ; PhDb ; ntuhkyhung@gmail.com" class="auth_mail" title="E-mail the corresponding author (Professor)
- 关键词：Anaphylaxis ; Central venous catheters ; Chlorhexidine ; Extracorporeal membrane oxygenation
- 刊名：Journal of Clinical Anesthesia
- 出版年：2016
- 出版时间：November 2016
- 年：2016
- 卷：34
- 期：Complete
- 页码：654-657
- 全文大小：487 K
文摘
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This is the first report of successful treatment of life-threatening anaphylaxis secondary to chlorhexidine using veno-arterial-ECMO.
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Chlorhexidine is commonly used, and sensitization to it may occur more often than recognized.
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We present a flowchart for the diagnosis and management of severe anaphylaxis.
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ECMO was lifesaving in a patient who developed severe bronchospasm and refractory anaphylactic shock secondary to chlorhexidine.