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Anaphylactic shock following althesin. A case report
Anaesthesia, Resuscitation, and Intensive Therapy
|January 1, 1976
Summary
Anaphylactic shock during anesthesia, presenting with a hemorrhagic rash, was managed with steroids and antihistamines. This case highlights the risk of intravascular clotting in anaphylactic shock and the need for allergy screening before anesthesia.
Area of Science:
- Anesthesiology
- Immunology
- Pediatrics
Background:
- Anaphylaxis is a severe, potentially life-threatening allergic reaction.
- Anesthesia carries inherent risks, including allergic responses.
- Pre-anesthetic evaluation is crucial for identifying potential risks.
Observation:
- A 9-year-old girl developed anaphylactic shock during anesthesia.
- The shock was accompanied by a hemorrhagic rash.
- Intravascular clotting was a potential complication considered.
Findings:
- Anaphylactic shock can manifest with a hemorrhagic rash during anesthesia.
- Steroids, antihistamines, and dextran were effective in managing the shock.
- Intravascular clotting is a critical consideration in anaphylactic shock.
Implications:
- Clinicians must consider the possibility of intravascular clotting in anaphylactic shock.
- Thorough allergy history is essential before administering anesthesia, particularly Althesin.
- Prompt recognition and management of anaphylaxis are vital in pediatric anesthesia.