Sugammadex-Induced Anaphylactic Shock Reversed With Short-Term Continuous Veno-Venous Hemodiafiltration: A Case Report

被引：1

作者：

Dichtwald, Sara ^{[1
]}

Meyer, Avraham

Miller, Yuval

Mirit, Lahav

机构：

[1] Meir Med Ctr, Dept Anesthesiol Intens Care & Pain Med, 59 Tchernichovsky St, IL-4428164 Kefar Sava, Israel

来源：

A & A PRACTICE | 2023年 / 17卷 / 11期

关键词：

ROCURONIUM; EPIDEMIOLOGY; ANESTHESIA;

D O I：

10.1213/XAA.0000000000001725

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Anaphylaxis is a life-threatening, systemic, hypersensitivity reaction, manifested by urticaria, hypotension, and respiratory symptoms. Antigens that are cleared renally may have protracted exposure in patients with impaired renal function, resulting in prolonged and refractory anaphylactic shock. After administration of sugammadex, a 47-year-old man developed prolonged, refractory anaphylactic shock, with anuria due to acute kidney injury. The patient was treated with continuous, short-term, veno-venous hemodiafiltration. Initiating this therapy in patients with refractory anaphylactic shock and anuria due to an antigen that is excreted renally can expedite recovery.

引用

页数：4

共 13 条

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