Near fatal intra-operative anaphylaxis to chlorhexidine - Is it time to change practice?

BMJ Case Reports

Volumn , Issue , 2011, Pages

  Khan, R A ^a   Kazi, T ^b   O'Donohoe, B ^c  

^a WALSGRAVE HOSPITAL   (United Kingdom)

^b HULL ROYAL INFIRMARY   (United Kingdom)

^c WEST WALES GENERAL HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADRENALIN; ATROPINE; CHLORHEXIDINE GLUCONATE; IMMUNOGLOBULIN E; INSTILLAGEL; LATEX; LUBRICATING AGENT; TROPONIN T; TRYPTASE;

ADULT; ADVERSE OUTCOME; ANAPHYLAXIS; ARTICLE; ASSISTED VENTILATION; BLADDER STONE; BLOOD OXYGEN TENSION; CASE REPORT; CLINICAL FEATURE; CLINICAL PRACTICE; DEFIBRILLATION; END TIDAL CARBON DIOXIDE TENSION; ENZYME BLOOD LEVEL; FOLLOW UP; HEART VENTRICLE FIBRILLATION; HUMAN; INTRAOPERATIVE PERIOD; LITHOTRIPSY; MALE; NEPHROLITHIASIS; OUTCOME ASSESSMENT; PRICK TEST; PRIORITY JOURNAL; PROTEIN BLOOD LEVEL; RESUSCITATION; SKIN TEST; TACHYCARDIA;

EID: 79955449004     PISSN: None     EISSN: 1757790X     Source Type: Journal    
DOI: 10.1136/bcr.09.2009.2300     Document Type: Article

References (8)

1. Krautheim AB, Jermann TH, Bircher AJ. Chlorhexidine anaphylaxis:case report and review of the literature. Contact Derm 2004;50:113-16. (Pubitemid 38746215)
2. Garvey LH, Roed-Petersen J, Husum B. Anaphylactic reactions in anaesthetised patients - four cases of chlorhexidine allergy. Acta Anaesthesiol Scand 2001;45:1290-4. (Pubitemid 33063417)
3. Stephens R, Mythen M, Kallis P, et al. Two episodes of life-threatening anaphylaxis in the same patient to a chlorhexidine-sulphadiazine-coated central venous catheter. Br J Anaesth 2001;87:306-8. (Pubitemid 32750547)
4. Wicki J, Deluze C, Cirafici L, et al. Anaphylactic shock induced by intraurethral use of chlorhexidine. Allergy 1999;54:768-9. (Pubitemid 29333626)
5. Thong CL, Lambros M, Stewart MG, et al. An unexpected cause of an acute hypersensitivity reaction during recovery from anaesthesia. Anaesth Intensive Care 2005;33:521-4. (Pubitemid 41131593)
6. Tzortzis V, Gravas S, Melekos MM, et al. Intraurethral lubricants:a critical literature review and recommendations. J Endourol 2009;23:821-6.
7. Garvey LH, Roed-Petersen J, MennéT, et al. Danish Anaesthesia Allergy Centre-preliminary results. Acta Anaesthesiol Scand 2001;45:1204-9. (Pubitemid 33063403)
8. Gueant JL, Aimone-Gastin I, Namour F, et al. Diagnosis and pathogenesis of the anaphylactic and anaphylactoid reactions to anaesthetics. Clin Exp Allergy 1998;28(Suppl 4):65-70.