Transesophageal Echocardiography-Guided Cardiopulmonary Resuscitation After Rocuronium Anaphylaxis
| Autor: | Gabrielle M. McMullin, Christopher S. Long, Matthew R. Miller, Sharon L. Tivey |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Resuscitation
Circulatory collapse business.industry medicine.medical_treatment General Medicine Return of spontaneous circulation medicine.disease Cardiopulmonary Resuscitation Heart Arrest Epinephrine Shock (circulatory) Anesthesia medicine Humans Cardiopulmonary resuscitation medicine.symptom Rocuronium business Anaphylaxis Echocardiography Transesophageal medicine.drug |
| Zdroj: | AA practice. 14(6) |
| ISSN: | 2575-3126 |
| Popis: | Anaphylaxis is a life-threatening hypersensitivity reaction that can quickly progress to circulatory collapse, even in the presence of timely epinephrine administration. This report describes a case of rocuronium anaphylaxis which progressed to circulatory arrest despite intravenous epinephrine and crystalloid resuscitation. Transesophageal echocardiography performed during cardiopulmonary resuscitation enabled rapid identification of the cause of shock and redirected management to prioritize further fluid administration, leading to return of spontaneous circulation with a good outcome. The etiology of shock in anaphylaxis can be variable, and transesophageal echocardiography can rapidly identify the likely mechanism and guide treatment without interrupting ongoing resuscitative efforts. |
| Databáze: | OpenAIRE |
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