[Oxygen consumption during anaphylactic shock].
We report the case of a 49-year-old man who suffered anaphylactic/anaphylactoid shock within the first few minutes of reaching the recovery room after unremarkable coronary surgery and revascularization. Adequate monitoring permitted differential diagnosis and establishment of specific treatment Monitoring also allowed us to document hemodynamic changes and oxygen consumption during this instance of anaphylactic/anaphylactoid shock. Anaphylactic/anaphylactoid shock caused significant vasoparalysis with decreases in arterial pressures, reduction of oxygen consumption and discrete changes in oxygen exchange. The reposition of volume and administration of adrenaline were insufficient. Appropriate management of noradrenaline perfusion, which was made possible by complete monitoring, was essential for reestablishing normal hemodynamic and oximetric readings and preventing myocardial ischemia.
Catalá
J C
JC
Servicio de Anestesiología, Reanimación y Terapia del Dolor, Hospital General Universitario de Valencia.
Llagunes
J
J
Marín
J P
JP
Aguar
F
F
Grau
F
F
D000707:Anaphylaxis / Q000378:metabolism*; D001026:Coronary Artery Bypass; D006801:Humans; D008297:Male; D008875:Middle Aged; D010101:Oxygen Consumption / Q000502:physiology*; D011183:Postoperative Complications / Q000378:metabolism
Consumo de oxígeno durante un shock anafiláctico.