Anaphylactic shock causing cardiac arrhythmia: A case analysis of successful precordial thump intervention
Abstract
This article presents a clinical case analysis of cardiac arrhythmia induced by anaphylactic shock, along with the diagnosis and treatment methods employed in the case. The article provides a detailed explanation of the causes and mechanisms of allergic reactions caused by neuromuscular blocking agents and the subsequent cardiac arrhythmias. It also discusses treatment methods such as precordial thump. This article can serve as a reference for clinicians dealing with similar cases.
References
[1] MERTES P M, EBO D G, GARCEZ T, et al. Comparative epidemiology of suspected perioperative hypersensitivity reactions [J].
Br J Anaesth, 2019, 123(1): e16-e28.
[2] MERTES P M, VOLCHECK G W, GARVEY L H, et al. Epidemiology of perioperative anaphylaxis [J]. Presse Med, 2016, 45(9):
758-67.
[3] GIBBS N M, SADLEIR P H, CLARKE R C, et al. Survival from perioperative anaphylaxis in Western Australia 2000-2009 [J]. Br
J Anaesth, 2013, 111(4): 589-93.
[4] SAVIC L C, KAURA V, YUSAF M, et al. Incidence of suspected perioperative anaphylaxis: A multicenter snapshot study [J]. J
Allergy Clin Immunol Pract, 2015, 3(3): 454-5.e1.
[5] GARVEY L H, DEWACHTER P, HEPNER D L, et al. Management of suspected immediate perioperative allergic reactions: an
international overview and consensus recommendations [J]. Br J Anaesth, 2019, 123(1): e50-e64.
[6] GARVEY L H, EBO D G, MERTES P M, et al. An EAACI position paper on the investigation of perioperative immediate hypersensitivity reactions [J]. Allergy, 2019, 74(10): 1872-84.
[7] TAKAZAWA T, YAMAURA K, HARA T, et al. Practical guidelines for the response to perioperative anaphylaxis [J]. J Anesth,
2021, 35(6): 778-93.
[8] DONG S W, MERTES P M, PETITPAIN N, et al. Hypersensitivity reactions during anesthesia. Results from the ninth French sur
vey (2005-2007) [J]. Minerva Anestesiol, 2012, 78(8): 868-78.
[9] CHE D, RUI L, CAO J, et al. Cisatracurium induces mast cell activation and pseudo-allergic reactions via MRGPRX2 [J]. Int Im_x005fmunopharmacol, 2018, 62: 244-50.
[10]SAMPSON H A, MUñOZ-FURLONG A, CAMPBELL R L, et al. Second symposium on the definition and management of anaphylaxis: summary report--second National Institute of Allergy and Infectious Disease/Food Allergy and Anaphylaxis Network symposium [J].
Ann Emerg Med, 2006, 47(4): 373-80.
[11]RENAUDIN J M, BEAUDOUIN E, PONVERT C, et al. Severe drug-induced anaphylaxis: analysis of 333 cases recorded by the
Allergy Vigilance Network from 2002 to 2010 [J]. Allergy, 2013, 68(7): 929-37.
[12]MURARO A, WORM M, ALVIANI C, et al. EAACI guidelines: Anaphylaxis (2021 update) [J]. Allergy, 2022, 77(2): 357-77.
[13]DRIBIN T E, SAMPSON H A, CAMARGO C A, JR., et al. Persistent, refractory, and biphasic anaphylaxis: A multidisciplinary
Delphi study [J]. J Allergy Clin Immunol, 2020, 146(5): 1089-96.
[14]MOSS J. Muscle relaxants and histamine release [J]. Acta Anaesthesiol Scand Suppl, 1995, 106: 7-12.
[15]LAXENAIRE M C. [Epidemiology of anesthetic anaphylactoid reactions. Fourth multicenter survey (July 1994-December 1996)]
[J]. Ann Fr Anesth Reanim, 1999, 18(7): 796-809.
[16]PERONI D G, SANSOTTA N, BERNARDINI R, et al. Muscle relaxants allergy [J]. Int J Immunopathol Pharmacol, 2011, 24(3
Suppl): S35-46.
[17]MERTES P M, LAXENAIRE M C, ALLA F. Anaphylactic and anaphylactoid reactions occurring during anesthesia in France in
1999-2000 [J]. Anesthesiology, 2003, 99(3): 536-45.
[18]MERTES P M, LAXENAIRE M C. [Anaphylactic and anaphylactoid reactions occurring during anaesthesia in France. Seventh
epidemiologic survey (January 2001-December 2002)] [J]. Ann Fr Anesth Reanim, 2004, 23(12): 1133-43.
[19]FERRARI S, PIETROIUSTI A, GALANTI A, et al. Paroxysmal atrial fibrillation after insect sting [J]. J Allergy Clin Immunol,
1996, 98(4): 759-61.
[20]ROJAS-PEREZ-EZQUERRA P, NOGUERADO-MELLADO B, MORALES-CABEZA C, et al. Atrial Fibrillation in Anaphylaxis
[J]. Am J Med, 2017, 130(9): 1114-6.
[21]AMIR O, SCHLIAMSER J E, NEMER S, et al. Ineffectiveness of precordial thump for cardioversion of malignant ventricular
tachyarrhythmias [J]. Pacing Clin Electrophysiol, 2007, 30(2): 153-6.
[22]DE MAIO V J, STIELL I G, SPAITE D W, et al. CPR-only survivors of out-of-hospital cardiac arrest: implications for out-of-hospital care and cardiac arrest research methodology [J]. Ann Emerg Med, 2001, 37(6): 602-8.
[23]HAMAN L, PARIZEK P, VOJACEK J. Precordial thump efficacy in termination of induced ventricular arrhythmias [J]. Resuscitation, 2009, 80(1): 14-6.
[24]DEE R, SMITH M, RAJENDRAN K, et al. The effect of alternative methods of cardiopulmonary resuscitation - Cough CPR, percussion pacing or precordial thump - on outcomes following cardiac arrest. A systematic review [J]. Resuscitation, 2021, 162: 73-81.
[25]NEHME Z, ANDREW E, BERNARD S A, et al. Treatment of monitored out-of-hospital ventricular fibrillation and pulseless ventricular tachycardia utilising the precordial thump [J]. Resuscitation, 2013, 84(12): 1691-6.
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