Perioperative Management of a Patient with Cold Urticaria

被引：7

作者：

Agbenyefia, Priscilla ^{[1
]}

Shilliam, Lance A. ^{[2
]}

Stoicea, Nicoleta ^{[1
]}

Roth, Andrew ^{[1
]}

Moran, Kenneth R. ^{[1
]}

机构：

[1] OSU Wexner Med Ctr, Dept Anesthesiol, Columbus, OH 43210 USA

[2] Akron Gen Med Ctr, Dept Anesthesiol, Akron, OH USA

来源：

FRONTIERS IN MEDICINE | 2017年 / 4卷

关键词：

cold urticaria; cold allergy; hypersensitivity reactions; immune reactions; perioperative normothermia; perioperative hypothermia; perioperative anaphylaxis; anesthesiology; DIAGNOSIS; ANAPHYLAXIS;

D O I：

10.3389/fmed.2017.00222

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Cold urticaria consists of an allergic immune response to cold temperatures with symptoms ranging from pruritic wheals to life-threatening angioedema, bronchospasm, or anaphylactic shock. Adequate planning to maintain normothermia perioperatively is vital due to impaired hypothalamic thermoregulation and overall depression of sympathetic outflow during deep sedation and general anesthesia. This case report describes the successful perioperative management of a 45-year-old female with a history of cold urticaria undergoing a laparoscopic Nissen fundoplication for refractory gastroesophageal reflux disease and discusses how to appropriately optimize the care of these patients.

引用

页数：4

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