Korean J Anesthesiol Search

CLOSE


Korean Journal of Anesthesiology 2004;46(1):119-121.
DOI: https://doi.org/10.4097/kjae.2004.46.1.119   
Anesthetic Management of Emergent Cesarean Section of a Patient with a Latex-Induced Allergic Reaction: A case report.
Jin Tae Kim, Ho Geol Ryu, Hong Ko, Kook Hyun Lee
Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Abstract
Since the first report appeared in 1979, the incidence of potentially life threatening allergic reactions to latex has increased. We performed Cesarean section on a 28 yr old women who showed a severe latex allergic reaction that induced fetal distress. In the 39 th week of pregnancy, delivery was induced with oxytocin and a vaginal examination was performed using latex gloves. Chest tightness, dyspnea, urticaria, maternal hypotension (78/50 mmHg) and fetal bradycardia (40-90 beats/min) appeared suddenly 10 min after the vaginal examination. In addition to the subcutaneous injection of 0.3 mg epinephrine, diphenhydramine 45.5 mg and dexamethasone 4 mg was administered intravenously. Anesthesia was induced with thiopental and succinycholine, and maintained with isoflurane and epidural lidocaine. After operation, no additional problems were evident, except an itching sense. Potentially life threatening allergic reactions to latex should be considered in those with a high risk of latex allergy, and efforts should be made to provide this group with a latex-free environment.
Key Words: anesthesia; allergy; Cesarean section; latex; pregnancy


ABOUT
ARTICLE CATEGORY

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Editorial Office
101-3503, Lotte Castle President, 109 Mapo-daero, Mapo-gu, Seoul 04146, Korea
Tel: +82-2-792-5128    Fax: +82-2-792-4089    E-mail: journal@anesthesia.or.kr                

Copyright © 2024 by Korean Society of Anesthesiologists.

Developed in M2PI

Close layer
prev next