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Anafilaxia y anestesia en la paciente Obstétrica. A propósito de un caso

Keywords: anaphylaxis, anesthesia.

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Abstract:

introduction: the hypersensitivity or anaphylaxis during the perioperative period most of the times becomes a diagnostic enigma. first, it is severe complication for the anesthesiologist and especially if it occurs in as sensitive as the mother one. objectives: to show the clinical case of a obstetric patient with a first trimester pregnancy with a anaphylactic response to the anesthetic drugs used. case presentation: this is patient aged 2l8 with a history of intermittent bronchial asthma from childhood who self-medicate with salbutamol spray since its crises were occasional and only needed to be treated sometimes with corticoids over the past 5 years. there was not another significant background. the came to operating theatre with a diagnosis of a twisted ovarian cyst as a surgical emergence and had a anaphylactic response to the anesthetic drugs used in the anesthetic induction a suffered a vascular collapse and cardiac-respiratory arrest as a anaphylactic response to anesthetic drugs used with solution of this severe symptomatic picture saving its life without sequelae. conclusions: the anaphylactic or pseudo-anaphylactic reactions are a concern for anesthesiologist, thus it is essential to look for the backgrounds in pre-anesthetic assessment even in emergence surgical procedures.

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