title: Management of cold-induced urticaria during cardiac surgery.
abstract: General body cooling and local hypothermia during cardiopulmonary bypass in theory could precipitate a severe systemic anaphylaxis in the case of cold-induced urticaria. We present a case of cold-induced urticaria and describe how preanesthetic single-dose steroid, H(2) antagonist, and antihistamine, normothermic retrograde, and antegrade cardioplegia administration were all employed with normothermic conditions in the prevention of life-threatening anaphylaxis during coronary artery bypass grafting.
authors.affiliation: Department of Cardiothoracic Surgery, Royal Victoria Hospital, Grosvenor Road, Belfast, BT12 6BA. karen.booth@belfasttrust.hscni.net
authors.forename: Karen
authors.initials: K
authors.lastname: Booth
authors.forename: H
authors.initials: H
authors.lastname: Parissis
mesh_terms: D000368:Aged; D001831:Body Temperature; D002315:Cardiopulmonary Bypass / Q000009:adverse effects / Q000379:methods; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007036:Hypothermia, Induced / Q000009:adverse effects*; D007430:Intraoperative Care / Q000379:methods*; D014581:Urticaria / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*