Artículos de revistas
Anaphylaxis During Renal Transplantation Of Live Donor Graft In A Child With Latex Allergy. Case Report [reação Anafilática Durante Transplante Renal Intervivos Em Criança Alérgica Ao Látex. Relato De Caso]
Registro en:
Revista Brasileira De Anestesiologia. , v. 59, n. 2, p. 210 - 218, 2009.
347094
10.1590/S0034-70942009000200009
2-s2.0-66049123806
Autor
Poterio G.M.B.
Braga A.D.F.D.A.
Santos R.M.D.S.F.
Gomes I.D.F.S.F.B.
Luchetta M.I.
Institución
Resumen
BACKGROUND AND OBJECTIVES: Latex allergy is becoming increasingly more frequent, affecting patients and health care professionals. The objective of this report was to present the case of a child with allergy to latex, who developed anaphylaxis during anesthesia for renal transplantation, and emphasize some of the multidisciplinary conducts used to decrease the risk of anaphylactic shock after graft reperfusion. CASE REPORT: A male child, 5 years and 10 months old, P3 by the ASA classification, with a history of allergy to latex diagnosed after contact with balloons and confirmed by Rast test specific for latex and Prick test, underwent renal transplantation of a live donor graft for end-stage renal disease secondary to urologic malformation. The protocols for patients with Latex Allergy adopted by the Anesthesiology and Nursing Departments of the Hospital das Clínicas da UNICAMP were observed to avoid exposure of the child to latex. They started the day before the surgery by cleaning the operating rooms and substituting of all medical-hospital products by latex-free material. The equipment and materials used during the procedure were latex-free according to a technical report provided by the manufacturers. The surgery was done under general anesthesia and controlled mechanical ventilation. At the end of the surgery, the patient required blood transfusion, which was administered by a pressurizer; he developed cutaneous rash and the blood transfusion was discontinued, hydrocortisone was administered, and the infusion of crystalloids was increased. The child had an immediate and satisfactory response to the treatment. CONCLUSIONS: Latex allergy has become a public health problem and the knowledge of specific therapeutic conducts allows immediate treatment and decreases patient risks. © Sociedade Brasileira de Anestesiologia, 2009. 59 2 210 218 Mertes, P.M., Laxenaire, M.C., Allergic reactions occurring during anaesthesia (2002) Eur J Anaesthesiol, 19, pp. 240-262 Laxenaire, M.C., Moneret-Vautrin, D.A., Nouveautés en allegroanesthésie (1993) Ann Fr Anesth Reanim, 12, pp. 89-90 Batti, M.A.C.S.B., Alergia ao látex (2003) Rev Bras Anestesiol, 53, pp. 555-560 Verdolin, B.A., Boas, W.W.V., Gomez, R.S., Alergia ao látex: Diagnóstico acidental após procedimento urológico. Relato de caso (2003) Rev Bras Anestesiol, 53, pp. 496-500 Jacqmarcq, O., Karila, C., Carli, P., Latex - Induced anaphylactic shock following graft reperfusion during renal transplantation (2005) Annales Francaises D'Anesthesie et de Reanimation, 24 (5), pp. 547-550. , DOI 10.1016/j.annfar.2005.02.028, PII S0750765805001504 Valls, A., Pascual, C.Y., Caballero, M.T., Alergia al latex (2004) Allergol Immunopathol, 32, pp. 295-305 Llatser, R., Zambrano, C., Guillaumet, B., Anaphylaxis to natural rubber latex in a girl with food allergy (1994) Pediatrics, 94 (5), pp. 736-737 Sanchez Palacios, A., Ortiz Ponce, M., Rodriguez Perez, A., Allergic and pseudoallergic reactions in surgical interventions with general anesthesia (2000) Allergologia et Immunopathologia, 28 (1), pp. 24-36 Slater, J.E., Mostello, L.A., Shaer, C., Rubber-specific IgE in children with spina bifida (1991) J Urol, 146, pp. 578-579 Pollard, R.J., Layon, A.J., Latex allergy in the operating room: Case report and a brief review of the literature (1996) Journal of Clinical Anesthesia, 8 (2), pp. 161-167. , DOI 10.1016/0952-8180(95)00203-0 Mathias, L.A.D.S.T., Botelho, M.P.F., De Oliveira, L.M., Yamamura, S.J.B., Bonfa, R.L.G., Marsura, S., Prevalence of signs/symptoms suggestive of latex sensitization in health care workers (2006) Revista Brasileira de Anestesiologia, 56 (2), pp. 137-146. , http://www.scielo.br/pdf/rba/v56n2/en_04.pdf Mertes, P.M., Moneret-Vautrin, D.A., Leynadier, F., Laxenaire, M.-C., Skin reactions to intradermal neuromuscular blocking agent injections: A randomized multicenter trial in healthy volunteers (2007) Anesthesiology, 107 (2), pp. 245-252. , DOI 10.1097/01.anes.0000270721.27309.b3, PII 0000054220070800000011 Mertes, P.M., Laxenaire, M.C., Allergy and anaphylaxis in anaesthesia (2004) Minerva Anestesiol, 70, pp. 285-291 Katz, J.D., Holzman, R.S., Brown, R.H., (2005) Natural Rubber Latex Allergy. Considerations for Anesthesiologists, , http://www.asahq.org/publicationsandservices/latexallergy.pdf, New York, Disponível em Navarrete, M.A., Salas, A., Palacios, L., Alergia al latex (2006) Farm Hosp, 30, pp. 177-186