title: Pulseless electrical activity during caesarean delivery under spinal anaesthesia: a case report of severe anaphylactic reaction to Syntocinon.
abstract: Anaphylactoid reaction to Syntocinon is rare, but has been described in the literature. The reactions described include patchy erythema, hypotension, bronchospasm and oxygen desaturation, but pulseless electrical activity following Syntocinon has not been reported. We present the case of a 34-year-old primigravida with essential hypertension, gestational diabetes and hypothyroidism with a twin pregnancy following in vitro fertilization. During elective caesarean delivery she developed a severe anaphylactic reaction to Syntocinon leading to pulseless electrical activity.
authors.affiliation: Department of Anaesthesiology, Pain & Perioperative Medicine, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, India. deepanjalipant@gmail.com
authors.forename: D
authors.initials: D
authors.lastname: Pant
authors.forename: V K
authors.initials: VK
authors.lastname: Vohra
authors.forename: S S
authors.initials: SS
authors.lastname: Pandey
authors.forename: J
authors.initials: J
authors.lastname: Sood
mesh_terms: D000328:Adult; D000707:Anaphylaxis / Q000139:chemically induced* / Q000150:complications / Q000188:drug therapy; D000775:Anesthesia, Spinal / Q000379:methods; D004562:Electrocardiography; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications; D007037:Hypothyroidism / Q000150:complications; D010120:Oxytocics / Q000009:adverse effects*; D010121:Oxytocin / Q000009:adverse effects*; D010173:Palpation / Q000379:methods; D011247:Pregnancy; D011248:Pregnancy Complications / Q000139:chemically induced* / Q000188:drug therapy; D011272:Pregnancy, Multiple; D014427:Twins
chemical_list: D010120:Oxytocics; D010121:Oxytocin