Transesophageal Echocardiography-Guided Cardiopulmonary Resuscitation After Rocuronium Anaphylaxis.

A&A Practice
Christopher S LongSharon L Tivey

Abstract

Anaphylaxis is a life-threatening hypersensitivity reaction that can quickly progress to circulatory collapse, even in the presence of timely epinephrine administration. This report describes a case of rocuronium anaphylaxis which progressed to circulatory arrest despite intravenous epinephrine and crystalloid resuscitation. Transesophageal echocardiography performed during cardiopulmonary resuscitation enabled rapid identification of the cause of shock and redirected management to prioritize further fluid administration, leading to return of spontaneous circulation with a good outcome. The etiology of shock in anaphylaxis can be variable, and transesophageal echocardiography can rapidly identify the likely mechanism and guide treatment without interrupting ongoing resuscitative efforts.

References

Oct 1, 1989·The Journal of Trauma·G K LunaC L Rice
Jun 1, 2000·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·W A VisserW R Aengevaeren
Dec 1, 2000·Critical Care Medicine·W F DickT Schneider
Oct 30, 2009·Best Practice & Research. Clinical Anaesthesiology·Colin Forbes Royse
Jun 11, 2014·Current Opinion in Allergy and Clinical Immunology·Massimo TriggianiErminia Ridolo
Nov 1, 2015·Journal of Medical Case Reports·Diab GhanimShemy Carasso
Feb 20, 2016·The Journal of Trauma and Acute Care Surgery·David R JeffcoachBrian J Daley
Jan 10, 2018·The American Journal of Emergency Medicine·Pradhum RamGlenn Eiger
Mar 8, 2018·Expert Review of Clinical Immunology·Wojciech FrancuzikMargitta Worm
Jul 26, 2018·Anesthesia and Analgesia·Vivek K MoitraMichael F O'Connor

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