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Journals / Türk Resüsitasyon Dergisi / 2022 / Cilt: 1 Sayı: 3

MANAGEMENT OF A CASE DEVELOPING RESISTANT ANAPHYLACTIC SHOCK IN HYDATID CYST SURGERY

KİST HİDATİK CERRAHİSİNDE DİRENÇLİ ANAFİLAKTİK ŞOK GELİŞEN OLGUNUN YÖNETİMİ

Osman Kaya(ESKİŞEHİR OSMANGAZİ ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ANESTEZİYOLOJİ VE REANİMASYON ANABİLİM DALI)0000-0002-8416-6213
Gülay Erdoğan Kayhan(ESKİŞEHİR OSMANGAZİ ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ANESTEZİYOLOJİ VE REANİMASYON ANABİLİM DALI)0000-0002-2635-9295
Meryem Onay(ESKİŞEHİR OSMANGAZİ ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ANESTEZİYOLOJİ VE REANİMASYON ANABİLİM DALI)0000-0002-5028-9135
Yeliz Kılıç(ESKİŞEHİR OSMANGAZİ ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ANESTEZİYOLOJİ VE REANİMASYON ANABİLİM DALI)0000-0003-1446-7747
Pages
148–153
Publication Date
2022-12-29
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In conclusion, anaphylaxis may develop and can cause refractory anaphylactic shock without significant macroscopic rupture findings during hydatid surgery.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Hydatid cyst rupture can cause allergic reactions that can progress to anaphylactic shock or even death.
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Key Findings & Data:In conclusion, anaphylaxis may develop and can cause refractory anaphylactic shock without significant macroscopic rupture findings during hydatid surgery.
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Conclusion & Impact:It should not be forgotten that early intramuscular adrenaline should be administered in the early recognition and treatment of anaphylactic shock.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Anafilaksi · Anafilaktik Şok · Kist Hidatik

Abstract

Hydatid cyst rupture can cause allergic reactions that can progress to anaphylactic shock or even death. This article presents the management of resistant anaphylactic shock in a patient with cardiac pacing who underwent laparoscopic hydatid surgery. In this case, who underwent laparoscopic surgery, the initial presentation with sudden hypotension and the late appearance of skin rashes and respiratory symptoms made the differential diagnosis difficult. The presence of cardiac pace due to complete AV block prevented us from evaluating ST segment analysis and tachy-bradycardia. In conclusion, anaphylaxis may develop and can cause refractory anaphylactic shock without significant macroscopic rupture findings during hydatid surgery. Recognition and management of anaphylactic shock can be difficult in cardiac patients with comorbid diseases. It should not be forgotten that early intramuscular adrenaline should be administered in the early recognition and treatment of anaphylactic shock.

Özet

Kist hidatik rüptürü, anafilaktik şok hatta ölüme kadar ilerleyebilen, alerjik reaksiyonlara neden olabilir. Bu makalede, laparoskopik kist hidatik cerrahisine alınan kardiyak peysli hastada gelişen dirençli anafilaktik şok tablosunun yönetimi sunulmuştur. Laparoskopik cerrahi uygulanan bu olguda, ilk tablonun ani hipotansiyon ile ortaya çıkması, cilt döküntülerinin ve solunumsal belirtilerin geç görülmesi ayırıcı tanıyı zorlaştırmıştır. AV tam bloğa bağlı kardiyak peys varlığı, ST segment analizi ve taşi-bradikardi durumlarını değerlendirmemizi engellemiştir. Sonuç olarak, kist hidatik cerrahi sırasında belirgin makroskopik rüptür olmaksızın anafilaksi gelişebilir ve refrakter anafilaktik şoka yola açabilir. Komorbid hastalığı olan kardiyak hastalarda anafilaktik şokun tanınması ve yönetimi güç olabilir. Anafilaktik şokun erken tanınması ve tedavisinde erken intramusküler adrenalin uygulanması gerektiği unutulmamalıdır.

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Cite This Article

Kaya, O., Kayhan, G. E., Onay, M., Kılıç, Y. (2022). MANAGEMENT OF A CASE DEVELOPING RESISTANT ANAPHYLACTIC SHOCK IN HYDATID CYST SURGERY. Türk Resüsitasyon Dergisi, Cilt: 1 Sayı: 3, 148–153. https://ajindex.com/articles/978331

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