Volume Replacement in Acute Anaphylactoid Reactions

Author:

Fisher M. McD.1,Dicks I.1

Affiliation:

1. Royal North Shore Hospital, Sydney and Gosford District Hospital, Gosford, N.S.W.

Abstract

Two patients who experienced cardiovascular collapse due to anaphylactoid reactions are described. The first patient showed haemoconcentration which was rapidly restored with colloid solutions and vasoconstrictors. The second patient showed haemoconcentration in spite of massive infusion of crystalloid and repeated adrenaline; her circulatory status was restored with colloid solution. In acute anaphylactoid reactions both sympathomimetics and colloid solutions are necessary to restore circulation.

Publisher

SAGE Publications

Subject

Anesthesiology and Pain Medicine,Critical Care and Intensive Care Medicine

Reference5 articles.

1. Severe Histamine Mediated Reactions to Intravenous Drugs Used in Anaesthesia

2. FisherM. McD. (1978): “Management of anaphylaxis in adverse reactions to intravenous drugs”, ed. WatkinsJ., and Milford WardA. Academic Press. London, page 145.

3. BLOOD VOLUME REPLACEMENT IN ACUTE ANAPHYLACTIC CARDIOVASCULAR COLLAPSE RELATED TO ANAESTHESIA

4. HISTAMINE IN ANAESTHESIA

5. Anaphylactic Shock in the Monkey: its Hemodynamics and Mediators1

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5. Histaminoid reactions in anaesthesia;British Journal of Anaesthesia;1995-02

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