Zusammenfassung
„Sandy – ein blasses und zartes Mädchen – betrat mit ihrer Mutter den Behandlungsraum. Frau Dr. Pia stellte sich vor und erläuterte den Zweck des Prämedikationsgesprächs. „Bei der letzten Narkose hat es Schwierigkeiten gegeben. Was genau war das Problem?“ „Ich weiß es nicht so richtig“, sagte Sandys Mutter, „aber ich hab’ Ihnen das hier mitgebracht.“ Sie zog einen gelben Ausweis und einen etwas abgegriffenen, kurzen Arztbrief hervor …“ – Auf dem Anästhesieausweis steht vermerkt, dass Pia Allergien gegen Midazolam und Propofol hat, und es deswegen bei der letzten Operation Probleme gab. Gibt es so etwas? Wie sollte Pia prämediziert werden? Wie macht man eine Allergietestung? Wie wird ein negativer Test gewertet? Was ist ein Provokationstest?
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Literatur
Heikal S, Stuart G (2020) Anxiolytic premedication for children. BJA Educ 20:220–225. https://doi.org/10.1016/j.bjae.2020.02.006
Stingeni L, Bianchi L, Tramontana M et al (2020) Skin tests in the diagnosis of adverse drug reactions. G Ital Dermatol Venereol 155:602–621. https://doi.org/10.23736/S0392-0488.20.06698-5
Hemphill S, McMenamin L, Bellamy MC et al (2019) Propofol infusion syndrome: a structured literature review and analysis of published case reports. Br J Anaesth 122:448–459. https://doi.org/10.1016/j.bja.2018.12.025
Inal MT, Memis D, Vatan I et al (2008) Late-onset pulmonary edema due to propofol. Acta Anaesthesiol Scand 52:1015–1017. https://doi.org/10.1111/j.1399-6576.2008.01674.x
Waheed MA, Oud L (2014) Acute pulmonary edema associated with propofol: an unusual complication. West J Emerg Med 15:845–848. https://doi.org/10.5811/westjem.2014.7.22942
Takao Y, Mikawa K, Nishina K et al (2005) Attenuation of acute lung injury with propofol in endotoxemia. Anesth Analg 100:810–816. https://doi.org/10.1213/01.ANE.0000144775.19385.8C
Votta-Velis EG, Minshall RD et al (2007) Propofol attenuates endotoxin-induced endothelial cell injury, angiotensin-converting enzyme shedding, and lung edema. Anesth Analg 105:1363–1370. https://doi.org/10.1213/01.ane.0000281144.06703.0d
Brockow K, Przybilla B, Aberer W et al (2015) Guideline for the diagnosis of drug hypersensitivity reactions: S2K-Guideline of the German Society for Allergology and Clinical Immunology (DGAKI) and the German Dermatological Society (DDG) in collaboration with the Association of German Allergologists (AeDA), the German Society for Pediatric Allergology and Environmental Medicine (GPA), the German Contact Dermatitis Research Group (DKG), the Swiss Society for Allergy and Immunology (SGAI), the Austrian Society for Allergology and Immunology (ÖGAI), the German Academy of Allergology and Environmental Medicine (DAAU), the German Center for Documentation of Severe Skin Reactions and the German Federal Institute for Drugs and Medical Products (BfArM). Allergo J Int 24:94–105. https://doi.org/10.1007/s40629-015-0052-6
Kroigaard M, Garvey LH, Gillberg L et al (2007) Scandinavian Clinical Practice Guidelines on the diagnosis, management and follow-up of anaphylaxis during anaesthesia. Acta Anaesthesiol Scand 51:655–670. https://doi.org/10.1111/j.1399-6576.2007.01313.x
Mertes PM, Demoly P, Malinovsky JM (2012) Hypersensitivity reactions in the anesthesia setting/allergic reactions to anesthetics. Curr Opin Allergy Clin Immunol 12:361–368. https://doi.org/10.1097/ACI.0b013e328355b82f
Vadas P, Perelman B (2012) Effect of epinephrine on platelet-activating factor-stimulated human vascular smooth muscle cells. J Allergy Clin Immunol 129:1329–1333. https://doi.org/10.1016/j.jaci.2012.02.027
Dodd A, Hughes A, Sargant N et al (2021) Evidence update for the treatment of anaphylaxis. Resuscitation 163:86–96. https://doi.org/10.1016/j.resuscitation.2021.04.010
Ring J, Beyer K, Biedermann T et al (2021) Guideline (S2k) on acute therapy and management of anaphylaxis: 2021 update: S2k-Guideline of the German Society for Allergology and Clinical Immunology (DGAKI), the Medical Association of German Allergologists (AeDA), the Society of Pediatric Allergology and Environmental Medicine (GPA), the German Academy of Allergology and Environmental Medicine (DAAU), the German Professional Association of Pediatricians (BVKJ), the Society for Neonatology and Pediatric Intensive Care (GNPI), the German Society of Dermatology (DDG), the Austrian Society for Allergology and Immunology (ÖGAI), the Swiss Society for Allergy and Immunology (SGAI), the German Society of Anaesthesiology and Intensive Care Medicine (DGAI), the German Society of Pharmacology (DGP), the German Respiratory Society (DGP), the patient organization German Allergy and Asthma Association (DAAB), the German Working Group of Anaphylaxis Training and Education (AGATE). Allergo J Int 30:1–25. https://doi.org/10.1007/s40629-020-00158-y
Grabenhenrich L, Hompes S, Gough H et al (2012) Implementation of anaphylaxis management guidelines: a register-based study. PloS One 7:e35778. https://doi.org/10.1371/journal.pone.0035778
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2024 Der/die Autor(en), exklusiv lizenziert an Springer-Verlag GmbH, DE, ein Teil von Springer Nature
About this chapter
Cite this chapter
Martin, K., Hänsel, M., Hübler, M. (2024). Fall 14 – Muschelkaustik. In: Hübler, M., Koch, T. (eds) Komplikationen in der Anästhesie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-67757-5_14
Download citation
DOI: https://doi.org/10.1007/978-3-662-67757-5_14
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-67756-8
Online ISBN: 978-3-662-67757-5
eBook Packages: Medicine (German Language)