medigraphic.com

2004, Number S1

<< Back Next >>

Rev Mex Anest 2004; 27 (S1)

Allergic reactions in anesthesia

Levy JH

Language: English
References: 40
Page: 38-42
PDF size: 59.84 Kb.


Text Extraction

INTRODUCTION

Patients are exposed to multiple foreign substances including latex in the perioperative period. The anesthesiologist also represents one of the few physicians who personally administers a variety of agents including anesthetic drugs, antibiotics, polypeptides (eg, protamine) and blood products, all of which have the potential to produce a variety of predictable and unpredictable adverse reactions. The most lifethreatening form of an adverse reaction is anaphylaxis, however, the clinical presentation of reactions assumed to be allergic in origin may in fact represent different immune and nonimmune responses. This presentation will define the spectrum of acute life-threatening allergic reactions an anesthesiologist may encounter.


REFERENCES

  1. Levy JH. Anaphylactic Reactions in Anesthesia and Intensive Care. Second Edition. Stoneham, Butterworth-Heinemann Publishers, 1992.

  2. Jick H. Adverse drug reactions: the magnitude of the problem. J Allergy Clin Immunol 1984;74:555-560.

  3. Borda IT, Slone D, Jick H. Assessment of adverse reactions within a drug surveillance program. JAMA 1968;205:645.

  4. De Swarte RD. Drug allergy - problems and strategies. J Allergy Clin Immunol 1984;74:209-221.

  5. Porter J, Jick H. Drug-induced anaphylaxis, convulsions, deafness, and extrapyramidal symptoms. Lancet 1977;1:587.

  6. Portier MM, Richet C. De l’action anaphylactique de certains venins. C R Soc Biol 1902;54:170-172.

  7. Fisher M, Baldo BA. Anaphylaxis during anesthesia: current aspects of diagnosis and prevention. Eur J of Anaesth 1994;11:263-284.

  8. Levi R, Rubin LE, Gross SS. Histamine in cardiovascular function and dysfunction. In: Urnas B (ed). Handbook of Experimental Pharmacology, Vol 97, Berlin: Springer Verlag, 1991.

  9. Marone G (ed). Human Basophils and Mast Cells: Clinical Aspects. Chem Immunol. Basel, Karger, 1995,vol 62.

  10. Delage C, Irey NS. Anaphylactic deaths: A clinicopathologic study of 43 cases. J Forensic Sci 1972;17:525-540.

  11. Levy JH. Cardiovascular changes during anaphylactic /anaphylactoid reactions in man. J Clin Anesth 1989;1:426-430.

  12. Levy JH. The human inflammatory response. J Cardiovasc Pharmacol 1996;27(Suppl.1):S31-S37.

  13. Atkinson JP, Frank MM. Role of complement in the pathophysiology of hematologic disease. Prog Hematol 1977;10:211-245.

  14. Jacob HS, Craddock PR, Hammerschmidt DE, Moldow CFR. Complement-induced granulocyte aggregation - an unsuspected mechanism of disease. NEJM 1980;302:789-794.

  15. Dubois M, Lotze MT, Diamond WI, Kim YD, Glye MW, MacNamara TE. Pulmonary shunting during leukoagglutinin-induced noncardiogenic pulmonary edema. JAMA 1980;244:2186-2189.

  16. Morel DR, Zapol WM, Thomas SJ, Kitain EM, Robinson DR, Moss J, Chenoweth DE, Lowenstein E. C5a and thromboxane generation association with pulmonary vaso- and broncho-constriction during protamine reversal of heparin. Anesthesiology 1987;66:597-604.

  17. Popovsky MA, Abel MD, Moore SB. Transfusion related acute lung injury associated with passive transfer of antileukocyte antibodies. Am Rev Respir Dis 1985;128:185-189.

  18. Levy JH, Brister NW, Shearin WA, Ziegler JS, Hug CC, Adelson DM, Walker BF. Wheal and flare responses to opioids in humans. Anesthesiology 1989;70:756-760.

  19. Stellato C, Casolaro V, Ciccarelli A, Mastronardi P, Mazzarella B, Marone G. General anesthetics induce only histamine relase selectively from human mast cells. Br J Anaesth 1991;67: 751-758.

  20. Levy JH, Adelson DM, Walker BF. Wheal and flare responses to muscle relaxants in humans. Agents Actions 1991;34:302-308.

  21. Levy JH, Kettlekamp N, Goertz P, Hermens J, Hirshman CA. Histamine release by vancomycin. A mechanism for hypotension in man. Anesthesiology 1987;67:122-125.

  22. Levy JH, Davis GK, Duggan J, Szlam F. Determination of the hemodynamics and histamine release of rocuronium (Org 9426) when administered in increased doses under N20/O2-sufentanil anesthesia. Anesth Analg 1994;78:318-21.

  23. Levy JH, Rockoff MR. Anaphylaxis to meperidine. Anesth Analg 1982;61:301-303.

  24. Stark BJ, Sullivan TJ. Biphasic and protracted anaphylaxis. J Allergy Clin Immunol 1986;78:76-83.

  25. Levy JH, Zaidan JR, Faraj B. Prospective evaluation of risk of protamine reactions in NPH insulin-dependent diabetics. Anesth Analg 1986;65:739-742.

  26. Levy JH, Schwieger IM, Zaidan JR, Faraj BA, Weintraub WS. Evaluation of patients at risk for protamine reactions. J Thorac Cardiovasc Surg 1989;98:200-204.

  27. Caplan RA, Ward RJ, Posner K, Cheney FW. Unexpected cardiac arrest during spinal anesthesia: a closed claims analysis of predisposing factors. Anesthesiology 1988; 68:5-11.

  28. Levy JH. New concepts in the treatment of anaphylactoid reactions in anaesthesia. Ann Fr Anesth Reanim 1993;12:223-227.

  29. Levi R, Laparter B, Alsaka K, Gross SS, Griggith O. Role of endothelium-derived nitric oxide in cardiac and systemic anaphylaxis. Circulation, 1990;82 (Suppl III)345.

  30. Huraux C, Makita T, Montes F, Szlam F, Levy JH. A comparative evaluation of the effects of multiple vasodilators on human internal mammary artery. Anesthesiology 1998;88:1654-1659.

  31. Moneret-Vautrin DA, Laxenaire MC, Bavoux F. Allergic shock to latex and ethylene oxide during surgery for spina bifida. Anesthesiology 1990;73:556-558.

  32. Gold M, Swartz JS, Braude BM, Dolovich J, Shandling B. Intraoperative anaphylaxis: an association with latex sensitivity. J Allergy Clin Immunol 1991;87:662-666.

  33. Holzman RS. Latex allergy: an emerging operating room problem. Anesth Analg 1993;76: 635-641.

  34. Brown RH, Schauble JF, Hamilton RG. Prevalence of latex allergy among anesthesiologists: Identification of sensitized but asymptomatic individuals. Anesthesiology 1998;89:292-9.

  35. Lavaud F, Prevost A, Cossart C, Guerin L, Bernard J, Kochman S. Allergy to latex, avocado, pear, and banana: Evidence for a 30 kd antigen in immunoblotting. J Allergy Clin Immunol 1995;95:557-64.

  36. Blanco C, Carrillo T, Castillo R, Quiralte J, Cuevas M. Latex allergy: Clinical features and cross-reactivity with fruits. Ann Allergy 1994;73:309-14.

  37. Lebenbom-Mansour MH, Oesterle JR, Ownsby DR, Jennett MK, Post SK, Zaglaniczy K. The incidence of latex sensitivity in ambulatory surgical patients: A correlation of historical factors with positive serum immunoglobin E levels. Anesth Analg 1997;85:44-9.

  38. Holzman R, Sethna N. A “latex-safe” environment prevents allergic reactions in latex-allergic patients. 1992 International Latex Conference: Sensitivity to Latex in Medical Devices. Baltimore, MD, FDACenter for Devices and Radiological Health, 1992.

  39. Levy JH, Cormack JG, Morales A. Heparin neutralization by platelet factor 4 and protamine. Anesth Analg 1995;81:35-37.

  40. Kikura M, Lee MK, Levy JH. Hexadimethrine and methylene blue reversal of heparin following cardiopulmonary bypass. Anesth Analg 1996;83:223-227.




2020     |     www.medigraphic.com