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[Intraoperative anaphylaxis from latex. A case report]

L Lombardelli1, M Gafà, M Nolli

  • 1II Servizio di Anestesia, Rianimazione e Terapia Antalgica, Azienda Ospedaliera di Parma, Parma.

Minerva Anestesiologica
|July 25, 1998
PubMed
Summary

A 58-year-old woman experienced a severe allergic reaction during a total gastrectomy. Latex was identified as the cause of the anaphylaxis, highlighting the importance of allergen awareness in surgical settings.

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Area of Science:

  • Anesthesiology
  • Surgical Complications
  • Allergy and Immunology

Background:

  • Total gastrectomy is a major surgical procedure often requiring general anesthesia.
  • Postoperative pain management is crucial for patient recovery.
  • Anaphylactic reactions are rare but serious adverse events during surgery.

Observation:

  • A 58-year-old female patient developed an anaphylactic reaction during a total gastrectomy.
  • The reaction occurred approximately 15 minutes after the surgical resection began.
  • A peridural catheter was placed before anesthesia for pain relief.

Findings:

  • Diagnostic tests identified latex as the causative agent for the anaphylactic reaction.
  • The patient's anaphylaxis was directly linked to intraoperative exposure to latex.

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Implications:

  • This case underscores the critical need for vigilance regarding latex allergy in surgical patients.
  • Healthcare providers should consider latex as a potential trigger for anaphylaxis during operative procedures.
  • Implementing latex-free protocols can mitigate the risk of such severe allergic reactions.