Perioperatif Anafilaksi
Yıl: 2018 Cilt: 10 Sayı: 2 Sayfa Aralığı: 45 - 51 Metin Dili: Türkçe DOI: 10.5222/iksst.2018.045 İndeks Tarihi: 26-12-2018
Perioperatif Anafilaksi
Öz: Perioperatif anafilaksi, operasyon sırasında meydana gelen yaşamsal tehlike oluşturan sistemik allerjik reaksiyondur. Nadir görülmesine rağmen, çoğunlukla ciddi seyretmektedir. Perioperatif anafilaksi nedenleri nöromüsküler bloke edici ajanlar (NMBA), antibiyotikler, lateks, hipnotik indüksiyon ajanları (başta barbitüratlar), klorheksidin, opioidler ve kolloidlerdir. Perioperatif anafilaksi için risk faktörleri arasında kadın cinsiyeti (belirli ilaçlar için), mast hücre bozuklukları, diğer alerjik durumlar (astım, egzema veya saman nezlesi gibi), çoklu ameliyat öyküsü (özellikle lateks ve etilen oksit için) ilaç allerjisi ve atopi vardır. Akut astım atağı, aspirasyon, endotrakeal tüp malpozisyonu, malign hipertemi, pulmoner ödem, pulmoner tromboemboli, tansiyon pnömotoraks, transfüzyona bağlı akut akciğer hasarı, aritmiler, kardiyak tamponad, kardiyojenik şok, kanama, hiperkalemi kliniği perioperatif anafilaksinin ayırt edici tanılarını oluşturmaktadır.
Anahtar Kelime: Konular:
Perioperative Anaphylaxis
Öz: Perioperative anaphylaxis is a life-threatening systemic allergic reaction that occurs during the operation. Although it is seen rarely, mostly it leads a serious course. The causes of perioperative anaphylaxis include use of neuromuscular blocking agents (NMBA), antibiotics, latex, hypnotic induction agents (mainly barbiturates), chlorhexidine, opioids and colloids. Risk factors for perioperative anaphylaxis are as follows: female gender (for certain drugs), mast cell disorders, other allergic conditions (such as asthma, eczema or allergic rhinitis), multiple surgical history, drug allergy and atopy (especially for latex and ethylene oxide). Acute asthma attack, aspiration, endotracheal tube malposition, malignant hyperthermia, pulmonary edema, pulmonary thromboembolism, tension pneumothorax, transfusion dependent acute lung injury, arrhythmias, cardiac tamponade, cardiogenic shock, hemorrhage, hyperkalaemia should be also considered in the differential diagnosis of perioperative anaphylaxis.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık
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| APA | unal d (2018). Perioperatif Anafilaksi. , 45 - 51. 10.5222/iksst.2018.045 |
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| IEEE | unal d "Perioperatif Anafilaksi." , ss.45 - 51, 2018. 10.5222/iksst.2018.045 |
| ISNAD | unal, derya. "Perioperatif Anafilaksi". (2018), 45-51. https://doi.org/10.5222/iksst.2018.045 |
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| AMA | unal d Perioperatif Anafilaksi. İstanbul Kanuni Sultan Süleyman Tıp Dergisi. 2018; 10(2): 45 - 51. 10.5222/iksst.2018.045 |
| Vancouver | unal d Perioperatif Anafilaksi. İstanbul Kanuni Sultan Süleyman Tıp Dergisi. 2018; 10(2): 45 - 51. 10.5222/iksst.2018.045 |
| IEEE | unal d "Perioperatif Anafilaksi." İstanbul Kanuni Sultan Süleyman Tıp Dergisi, 10, ss.45 - 51, 2018. 10.5222/iksst.2018.045 |
| ISNAD | unal, derya. "Perioperatif Anafilaksi". İstanbul Kanuni Sultan Süleyman Tıp Dergisi 10/2 (2018), 45-51. https://doi.org/10.5222/iksst.2018.045 |
