Suspected anaphylaxis after intravenous administration of cefuroxime (Zinacef) in two dogs, with descriptions of arterial blood gas abnormalities over time

Autor: Hannah Leigh, Ambra Panti, Gudrun Schöffmann, Hulda Harðardottir
Rok vydání: 2019
Předmět:
Zdroj: Leigh, H, Hardardottir, H, Schoffmann, G & Panti, A 2019, ' Suspected anaphylaxis after intravenous administration of cefuroxime (Zinacef) in two dogs, with descriptions of arterial blood gas abnormalities over time ', Vet Record Case Reports . https://doi.org/10.1136/vetreccr-2019-000922
ISSN: 2052-6121
DOI: 10.1136/vetreccr-2019-000922
Popis: Two cases of suspected anaphylaxis occurred in our hospital within 2 weeks of each other. The first, a 6-year 4-month-old Border Collie presented for thoracic wall resection. Once anaesthetised, 20mg/kg of intravenous cefuroxime (Zinacef 75mg/ml, GlaxoSmithKline UK, UK) was administered slowly for prophylactic antibiosis. Ten minutes after administration was completed – desaturation occurred alongside tachycardia, hypotension and apnoea. Chest compliance was extremely poor, with minimal chest movement. Treatment includedintermittent positive pressure ventilation, intravenous fluids, terbutaline, adrenaline and dexamethasone. The second case, a 5-year 8-month old Lhasa Apso presented for elective orthopaedic surgery. Intravenous cefuroxime (Zinacef 75mg/ml, GlaxoSmithKline UK, UK) was again administered slowly for prophylactic antibiosis; however, it is uncertain whetherthe patient received the full dose of 20mg/kg. Mid administration tachycardia, tachypnoea and hypotension occurred – alongside poor chest compliance. Cefuroxime administration was stopped, the fluid line disconnected and treatment with chlorphenamine given.
Databáze: OpenAIRE