Anesthetic Management of a Patient With Mast Cell Activation Syndrome: A Case Study.

Autor: Giron SE; has been a clinical and didactic educator in nurse anesthesia since 2005. She is currently a full-time faculty member of the Kaiser Permanente School of Anesthesia in Pasadena, California, and practices at the South Bay Kaiser Permanente facility in Harbor City, California., Trinooson CD; is a staff nurse anesthetist at Keck Medical Center of the University of Southern California., Movahedi R; is an associate clinical professor at the University of California, Los Angeles, where she teaches clinical and didactic regional anesthesia. She completed her residency at Cedars-Sinai Medical Center, Los Angeles, California, and her fellowship at the Hospital for Special Surgery, New York, New York.
Jazyk: angličtina
Zdroj: AANA journal [AANA J] 2021 Aug; Vol. 89 (4), pp. 307-316.
Abstrakt: Mast cell activation syndrome (MCAS) is a relatively new diagnosis for a constellation of symptoms with sometimes devastating results for patients. A 40-year old woman with MCAS underwent arthroscopic repair of her right shoulder, with successful anesthetic management. This case report discusses the basic immunologic physiology surrounding this syndrome, myriad medications often used by this patient population, and the anesthetic management of this patient. With additional knowledge of this disorder, exposure to its clinical presentation in the perioperative setting, and anesthetic considerations specific to MCAS, the Certified Registered Nurse Anesthetist will be better equipped to effectively manage the complex requirements of this patient population.
Competing Interests: Name: Sarah E. Giron, PhD, CRNA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Crystal D. Trinooson, MS, CRNA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Rana Movahedi, MD Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. The authors did discuss off-label use within the article. Disclosure statements are available for viewing upon request.
(Copyright © by the American Association of Nurse Anesthetists.)
Databáze: MEDLINE
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