severe anaphylaxis to volplex, a colloid solution during cesarean section a case report and review严重过敏反应volplex,胶体溶液在剖腹产案例报告和评审.pdfVIP

Hindawi Publishing Corporation Obstetrics and Gynecology International Volume 2009, Article ID 374791, 4 pages doi:10.1155/2009/374791 Case Report Severe Anaphylaxis to Volplex, a Colloid Solution during Cesarean Section: A Case Report and Review K. Karri, R. Raghavan, and J. Shahid Obstetrics and Gynaecology, Alexandra Hospital, Redditch B98 7UB, UK Correspondence should be addressed to K. Karri, samyu17@ Received 24 December 2008; Revised 7 March 2009; Accepted 16 March 2009 Recommended by Everett F. Magann Anaphylaxis is a life-threatening event that can occur anytime during pregnancy. It has been reported following administration of various substances with adverse maternal and neonatal consequences. It should be considered in the differential diagnosis of intrapartum collapse. We encountered a case of severe anaphylactic reaction following a routine cesarean section. It is very important that all members of the perinatal team are aware of early recognition and management of anaphylactic reaction. We think that it is important to highlight this as a further case report of severe anaphylactic reaction to a colloid solution and discuss the pathophysiology and management. Copyright © 2009 K. Karri et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 1. Introduction 2. Case History Anaphylaxis is an acute systemic reaction with life- A 34-year-old primigravida underwent a cesarean section threatening consequences. Anaphylaxis although uncom- for failed induction of labour under spinal anesthesia. She mon can lead to adverse