title: [Anaphylactic shock lasting 4 days].
abstract: We present a case of a 62 year-old male scheduled for radical cystectomy, who, ten minutes into the surgery, presented with severe hypotension, tachycardia and increased airway pressure. There was no response to the administration of vasoactive drugs such as, ephedrine, phenylephrine, dopamine and norepinephrine. After ruling out several causes, we evaluated the possibility of an anaphylactic reaction. Adrenaline was given, and the patient stabilized. An adrenaline infusion and mechanical ventilation was required for four days in the critical care unit.
authors.affiliation: Departamento de Anestesiología y Reanimación, Hospital Universitario Fundación Alcorcón, Madrid, España. Electronic address: paula.martnez@gmail.com.
authors.forename: P
authors.initials: P
authors.lastname: Martínez-Fariñas
authors.affiliation: Departamento de Anestesiología y Reanimación, Hospital Universitario Fundación Alcorcón, Madrid, España.
authors.forename: A
authors.initials: A
authors.lastname: González-Arévalo
authors.affiliation: Departamento de Anestesiología y Reanimación, Hospital Infanta Leonor, Madrid, España.
authors.forename: E D
authors.initials: ED
authors.lastname: Martínez-Hurtado
authors.affiliation: Departamento de Anestesiología y Reanimación, Hospital Universitario Fundación Alcorcón, Madrid, España.
authors.forename: M
authors.initials: M
authors.lastname: Chacón
authors.affiliation: Departamento de Anestesiología y Reanimación, Hospital Universitario Fundación Alcorcón, Madrid, España.
authors.forename: S
authors.initials: S
authors.lastname: García del Valle
mesh_terms: D000707:Anaphylaxis / Q000097:blood / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D015653:Cystectomy; D004809:Ephedrine / Q000627:therapeutic use; D004837:Epinephrine / Q000627:therapeutic use; D006801:Humans; D007073:Immunoglobulin E / Q000276:immunology; D007431:Intraoperative Complications / Q000097:blood / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D020315:Latex Hypersensitivity / Q000097:blood / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000097:blood / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D013997:Time Factors; D053802:Tryptases / Q000097:blood
chemical_list: D007073:Immunoglobulin E; D053802:Tryptases; D004809:Ephedrine; D004837:Epinephrine
keywords: Adrenalina; Adrenaline; Anaphylactic shock; Latex; Long lasting anaphylactic shock; Látex; Shock anafiláctico; Shock anafiláctico prolongado