Abstract

LINARES HERNANDEZ, Melissa; RAMIREZ BERNAL, Francisco; AVELLANEDA SUAREZ, Fabio Andrés  and  ROJAS JAIMES, Rocío Areli. Anaphylactic reaction to latex during surgery. Acta méd. Grupo Ángeles [online]. 2021, vol.19, n.1, pp.116-122.  Epub Jan 31, 2022. ISSN 1870-7203.

Products containing natural latex are the cause of severe anaphylactic reactions during surgery. The anesthesiologist must be aware of the potential risk of an anaphylactic shock event. The following article describes the case of a 41-year-old woman scheduled for the resection of a distal pancreatic tumor. The patient was known to be allergic to latex. Prior to entering the operating room, premedication was provided. During the surgical event, severe hypotension, tachycardia and bronchospasm developed; accidental contact with a latex probe for Penrose drainage was documented. Support measures were given, achieving hemodynamic stabilization of the patient. Postoperative management was provided in the Intensive Care Unit. Natural latex products may be the cause of transoperative anaphylactic reactions, including anaphylactic shock. The diagnosis is often delayed due to the complications of anesthetic and surgical techniques (hypotension, bronchospasm). The anesthesiologist must keep in mind an anaphylactic shock event as a cause of hypotension refractory to conventional treatment, in this way, the appropriate treatment will be established in a timely manner.

Keywords : Latex; anaphylaxis; anaphylactic shock; perioperative complications; anesthesia.

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