title: Life-threatening anaphylactic reaction after the administration of airway topical lidocaine.
abstract: A 9-year-old boy who developed a life-threatening anaphylaxis reaction of the airway and subsequent dyspnea and circulation collapse because of instilled the topical lidocaine into the airway within 2 min before performing flexible bronchoscopy (FB). FB revealed swollen airway mucosa and extensive foamy secretion that severely compromised the ventilation lumen. Rapid detection with FB and immediate resuscitation, including prompt administration of epinephrine, volume expander, and positive pressure ventilation with pure oxygen via an endotracheal tube, were successfully save the patient's life.
authors.affiliation: Department of Pediatrics, Children's Medical Center, Taipei Veterans General Hospital, Taiwan, ROC.; Department of Pediatrics, School of Medicine, Institute of Emergency and Critical Care Medicines, National Yang-Ming University, Taipei, Taiwan, ROC.. wjsoong@vghtpe.gov.tw.
authors.forename: Wen-Jue
authors.initials: WJ
authors.lastname: Soong
authors.forename: Yu-Sheng
authors.initials: YS
authors.lastname: Lee
authors.forename: Yen-Hui
authors.initials: YH
authors.lastname: Soong
authors.forename: Pei-Chen
authors.initials: PC
authors.lastname: Tsao
authors.forename: Chia-Feng
authors.initials: CF
authors.lastname: Yang
authors.forename: Mei-Ji
authors.initials: MJ
authors.lastname: Jeng
authors.forename: Yu-Yun
authors.initials: YY
authors.lastname: Peng
mesh_terms: D000287:Administration, Topical; D000707:Anaphylaxis / Q000209:etiology*; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000009:adverse effects*; D001999:Bronchoscopy; D002648:Child; D004417:Dyspnea / Q000209:etiology; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage / Q000009:adverse effects*; D008297:Male; D012769:Shock / Q000209:etiology
chemical_list: D000779:Anesthetics, Local; D008012:Lidocaine