Allergic reaction to patent blue dye in breast surgery - case report
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Anestesiologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942016000400433 |
Resumo: | Abstract We present a case of allergic reaction to patent blue in a patient who underwent excision of sentinel lymph node associated with segmental breast resection. About 20 min after the dye injection, the patient developed hypotension (BP = 70 × 30 mmHg) associated with increased heart frequency. The patient was treated successfully with decreased inspired fraction of inhaled anesthetic and fluid replacement. At the end of the procedure, she presented with bluish urticarial-like plaques on the head, neck, upper limbs, and trunk; hydrocortisone was then used. The patient recovered uneventfully and was discharged from the PACU 2 h after the end of surgery without skin changes, and was discharged from hospital on the morning after surgery. The incidence of allergic reactions with the use of patent blue is far superior to the hypersensitivity reactions seen with anesthetic and adjuvant drugs. Therefore, the anesthesiologist must be aware of cardiovascular instability associated with skin changes during the use of patent blue, for early diagnosis and appropriate treatment of this hypersensitivity reaction to this dye. |
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Revista Brasileira de Anestesiologia (Online) |
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Allergic reaction to patent blue dye in breast surgery - case reportAnesthesiaAnaphylaxisHypersensitivityPatent blueAbstract We present a case of allergic reaction to patent blue in a patient who underwent excision of sentinel lymph node associated with segmental breast resection. About 20 min after the dye injection, the patient developed hypotension (BP = 70 × 30 mmHg) associated with increased heart frequency. The patient was treated successfully with decreased inspired fraction of inhaled anesthetic and fluid replacement. At the end of the procedure, she presented with bluish urticarial-like plaques on the head, neck, upper limbs, and trunk; hydrocortisone was then used. The patient recovered uneventfully and was discharged from the PACU 2 h after the end of surgery without skin changes, and was discharged from hospital on the morning after surgery. The incidence of allergic reactions with the use of patent blue is far superior to the hypersensitivity reactions seen with anesthetic and adjuvant drugs. Therefore, the anesthesiologist must be aware of cardiovascular instability associated with skin changes during the use of patent blue, for early diagnosis and appropriate treatment of this hypersensitivity reaction to this dye.Sociedade Brasileira de Anestesiologia2016-08-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942016000400433Revista Brasileira de Anestesiologia v.66 n.4 2016reponame:Revista Brasileira de Anestesiologia (Online)instname:Sociedade Brasileira de Anestesiologia (SBA)instacron:SBA10.1016/j.bjane.2014.02.018info:eu-repo/semantics/openAccessMaranhão,Marcius Vinícius M.Nóbrega,Dyluzia Kelly Amaral daAnunciação,Carlos Eduardo CaiadoMaia,Barbara de Alcântara BritoMariano,Paulo Virgílio Dantaseng2016-07-21T00:00:00Zoai:scielo:S0034-70942016000400433Revistahttps://www.sbahq.org/revista/https://old.scielo.br/oai/scielo-oai.php||sba2000@openlink.com.br1806-907X0034-7094opendoar:2016-07-21T00:00Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA)false |
dc.title.none.fl_str_mv |
Allergic reaction to patent blue dye in breast surgery - case report |
title |
Allergic reaction to patent blue dye in breast surgery - case report |
spellingShingle |
Allergic reaction to patent blue dye in breast surgery - case report Maranhão,Marcius Vinícius M. Anesthesia Anaphylaxis Hypersensitivity Patent blue |
title_short |
Allergic reaction to patent blue dye in breast surgery - case report |
title_full |
Allergic reaction to patent blue dye in breast surgery - case report |
title_fullStr |
Allergic reaction to patent blue dye in breast surgery - case report |
title_full_unstemmed |
Allergic reaction to patent blue dye in breast surgery - case report |
title_sort |
Allergic reaction to patent blue dye in breast surgery - case report |
author |
Maranhão,Marcius Vinícius M. |
author_facet |
Maranhão,Marcius Vinícius M. Nóbrega,Dyluzia Kelly Amaral da Anunciação,Carlos Eduardo Caiado Maia,Barbara de Alcântara Brito Mariano,Paulo Virgílio Dantas |
author_role |
author |
author2 |
Nóbrega,Dyluzia Kelly Amaral da Anunciação,Carlos Eduardo Caiado Maia,Barbara de Alcântara Brito Mariano,Paulo Virgílio Dantas |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Maranhão,Marcius Vinícius M. Nóbrega,Dyluzia Kelly Amaral da Anunciação,Carlos Eduardo Caiado Maia,Barbara de Alcântara Brito Mariano,Paulo Virgílio Dantas |
dc.subject.por.fl_str_mv |
Anesthesia Anaphylaxis Hypersensitivity Patent blue |
topic |
Anesthesia Anaphylaxis Hypersensitivity Patent blue |
description |
Abstract We present a case of allergic reaction to patent blue in a patient who underwent excision of sentinel lymph node associated with segmental breast resection. About 20 min after the dye injection, the patient developed hypotension (BP = 70 × 30 mmHg) associated with increased heart frequency. The patient was treated successfully with decreased inspired fraction of inhaled anesthetic and fluid replacement. At the end of the procedure, she presented with bluish urticarial-like plaques on the head, neck, upper limbs, and trunk; hydrocortisone was then used. The patient recovered uneventfully and was discharged from the PACU 2 h after the end of surgery without skin changes, and was discharged from hospital on the morning after surgery. The incidence of allergic reactions with the use of patent blue is far superior to the hypersensitivity reactions seen with anesthetic and adjuvant drugs. Therefore, the anesthesiologist must be aware of cardiovascular instability associated with skin changes during the use of patent blue, for early diagnosis and appropriate treatment of this hypersensitivity reaction to this dye. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942016000400433 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942016000400433 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.bjane.2014.02.018 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Anestesiologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Anestesiologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Anestesiologia v.66 n.4 2016 reponame:Revista Brasileira de Anestesiologia (Online) instname:Sociedade Brasileira de Anestesiologia (SBA) instacron:SBA |
instname_str |
Sociedade Brasileira de Anestesiologia (SBA) |
instacron_str |
SBA |
institution |
SBA |
reponame_str |
Revista Brasileira de Anestesiologia (Online) |
collection |
Revista Brasileira de Anestesiologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA) |
repository.mail.fl_str_mv |
||sba2000@openlink.com.br |
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1752126628987666432 |