Type I Anaphylactic Reaction Due to Contrast Induced Angioedema Causing Neck Swelling: Role of Sitting Fiberoptic Bronchoscopy in Emergent Intubation
سال انتشار: 1395
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 397
فایل این مقاله در 6 صفحه با فرمت PDF قابل دریافت می باشد
- صدور گواهی نمایه سازی
- من نویسنده این مقاله هستم
استخراج به نرم افزارهای پژوهشی:
شناسه ملی سند علمی:
JR_SBMU-1-3_006
تاریخ نمایه سازی: 6 اسفند 1398
چکیده مقاله:
Contrast induced angioedema is a rapidly progressive state involving a number of organ systems, including the upper airway tract; which is usually a type I anaphylactic reaction also known as immediate hypersensitivity reaction. Prompt preservation of the respiratory tract is the cornerstone of this situation. The use of fiberoptic bronchoscope for tracheal intubation though very helpful, has some special considerations due to the anatomic distortions created by edema. This manuscript describes a patient with contrast induced angioedema managed successfully. Serum levels of immunoglobulin E were highly increased during the first hours after the event; while serum levels of complement were normal. However, rapid airway management and prophylactic intubation saved the patient and prevented the possible aftermath of airway obstruction.
کلیدواژه ها:
نویسندگان
Ali Dabbagh
Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Habibollah Saadat
Cardiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Mahnoosh Foroughi
Cardiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Samira Rajaei
Immunology Department, Tehran University of Medical Sciences, Tehran, Iran
Reza Khajenouri
Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Farhad Solatpour
Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran