Abstract：
STUDY OBJECTIVE:To determine the applicability and reliability of a screening questionnaire to detect patients at high-risk of latex allergy; to assess the importance of other allergies such as profilin allergies (pollinosis) for presence of latex sensitization; and to determine the clinical effectiveness of preemptive avoidance of latex exposure in high-risk patients. DESIGN:Prospective, clinical trial. SETTING:Operative theater of a university hospital. PATIENTS:95 adult patients. INTERVENTIONS:Patients were preoperatively screened and classified for present latex allergy (high-risk and low-risk group) according to a specially designed screening questionnaire. Anesthesia and surgery in the high-risk group were performed strictly avoiding latex-containing materials. The low-risk group (other allergies including pollinosis) received routine treatment, without latex-avoidance. Effects of latex avoidance or exposure were evaluated by measuring specific IgE titers perioperatively. MEASUREMENTS AND MAIN RESULTS:According to the questionnaire, 45 patients at high risk were defined. Validity of classification of high-risk patients is supported by significantly higher total IgE and latex and grass profilin specific IgE compared to the low-risk group. There were no significant differences in other profilin-specific IgEs. In one case of severe anaphylactic reaction a drop of latex-specific IgE during surgery could be observed. CONCLUSION:The questionnaire allowed the identification of most patients at high risk for latex allergy. In isolated pollinosis no changes in any specific IgE levels were detectable. Strict avoidance of perioperative latex exposure in high-risk patients increases safety during anesthesia and surgery.
journal_name
J Clin Anesthjournal_title
Journal of clinical anesthesiaauthors
Haeberle HA,Lupic D,Midoro-Horiuti T,Kiefer RT,Schroeder TH,Unertl K,Dieterich HJdoi
10.1016/s0952-8180(03)00112-0subject
Has Abstractpub_date
2003-11-01 00:00:00pages
495-504issue
7eissn
0952-8180issn
1873-4529pii
S0952818003001120journal_volume
15pub_type
临床试验,杂志文章abstract：:Carditis can complicate Lyme disease in an estimated <5% of cases, and cardiogenic shock and severe cardiac arrhythmias are described with electrocardiographic abnormalities that could be suggestive of coronary manifestations. We report a case of severe persistent biventricular heart failure complicated by cardiac arr...
journal_title：Journal of clinical anesthesia
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abstract：:A potentially life-threatening arrhythmia appeared on the preinduction electrocardiogram of an asymptomatic young woman prior to spine surgery. The patient was evaluated by electrophysiology and had a rare accessory pathway, a Mahaim Fiber. ...
journal_title：Journal of clinical anesthesia
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abstract：STUDY OBJECTIVE:To measure the parameter of job satisfaction among anesthesiologists. DESIGN:Survey instrument. SETTING:Academic anesthesiology departments in the United States. SUBJECTS:320 anesthesiologists who attended the annual meeting of the ASA in 2009 (95% response rate). MEASUREMENTS AND MAIN RESULTS:The a...
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abstract：STUDY OBJECTIVE:To develop categories of behavior that define an applicant's aptitude for anesthesia, and to attempt to determine the relative importance of these behaviors to successful residency performance. DESIGN:Prospective open study. SETTING:Anesthesia residencies at three midwest university teaching hospitals...
journal_title：Journal of clinical anesthesia
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doi：10.1016/s0952-8180(97)00195-5
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abstract：:Arterial misplacement of the Swan-Ganz catheter occurs occasionally and usually can be easily detected. However, in some special clinical settings, the problem may become more complicated. We report a case of chronic obstructive pulmonary disease in which, because of severe hypoxemia, systemic hypotension, and pulmona...
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journal_title：Journal of clinical anesthesia
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abstract：:The anesthetic management of a parturient with a circulating lupus anticoagulant and an anticardiolipin antibody presenting to the obstetric suite taking heparin and aspirin is discussed. Issues concerning placement of a regional anesthetic with recent aspirin ingestion and heparin therapy are discussed. Documentation...
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journal_title：Journal of clinical anesthesia
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journal_title：Journal of clinical anesthesia
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journal_title：Journal of clinical anesthesia
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journal_title：Journal of clinical anesthesia
pub_type： 杂志文章,评审
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更新日期：1988-01-01 00:00:00
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更新日期：2014-09-01 00:00:00
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journal_title：Journal of clinical anesthesia
pub_type： 杂志文章,meta分析
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更新日期：2006-03-01 00:00:00
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pub_type： 杂志文章,评审
doi：10.1016/j.jclinane.2017.04.018
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abstract：:A case of fulminant hepatic failure two days following an uneventful operation during isoflurane anesthesia is presented. Investigations included elevated bilirubin and serum transaminases in the absence of any other cause of hepatic dysfunction. The patient died on the fourth postoperative day. Subsequent postmortem ...
journal_title：Journal of clinical anesthesia
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journal_title：Journal of clinical anesthesia
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：Journal of clinical anesthesia
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pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：1996-12-01 00:00:00
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journal_title：Journal of clinical anesthesia
pub_type： 杂志文章
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更新日期：2003-11-01 00:00:00
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journal_title：Journal of clinical anesthesia
pub_type： 杂志文章,评审
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更新日期：2003-02-01 00:00:00
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journal_title：Journal of clinical anesthesia
pub_type： 杂志文章
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更新日期：2020-05-01 00:00:00
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journal_title：Journal of clinical anesthesia
pub_type： 杂志文章
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更新日期：2005-03-01 00:00:00
abstract：:Malignant hyperthermia (MH) is a rare complication that often leads to adverse outcomes, catastrophic events, or death. Although various risk factors and underlying diseases are associated with this condition, unusual presentations may be missed. Malignant hyperthermia is an uncommon complication encountered during th...
journal_title：Journal of clinical anesthesia
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更新日期：2007-09-01 00:00:00
