Anaphylaxis during renal transplantation of live donor graft in a child with latex allergy: case report

TitleAnaphylaxis during renal transplantation of live donor graft in a child with latex allergy: case report
Publication TypeJournal Article
Year of Publication2009
AuthorsPoterio GM, Braga Ade F, Santos RM, Gomes Ide F, Luchetta MI
JournalRev Bras Anestesiol
Pagination210 - 8
Date PublishedMar-Apr
ISSN1806-907X (Electronic) 0034-7094 (Linking)
Accession Number19488533
Keywords*Kidney Transplantation, Anaphylaxis / *immunology, Child, Preschool, Humans, Intraoperative Complications / *immunology, Latex Hypersensitivity / *complications, Living Donors, Male

BACKGROUND AND OBJECTIVES: Latex allergy is becoming increasingly more frequent, affecting patients and health care professionals. The objective of this report was to present the case of a child with allergy to latex, who developed anaphylaxis during anesthesia for renal transplantation, and emphasize some of the multidisciplinary conducts used to decrease the risk of anaphylactic shock after graft reperfusion. CASE REPORT: A male child, 5 years and 10 months old, P3 by the ASA classification, with a history of allergy to latex diagnosed after contact with balloons and confirmed by Rast test specific for latex and Prick test, underwent renal transplantation of a live donor graft for end-stage renal disease secondary to urologic malformation. The protocols for patients with Latex Allergy adopted by the Anesthesiology and Nursing Departments of the Hospital das Clinicas da UNICAMP were observed to avoid exposure of the child to latex. They started the day before the surgery by cleaning the operating rooms and substituting of all medical-hospital products by latex-free material. The equipment and materials used during the procedure were latex-free according to a technical report provided by the manufacturers. The surgery was done under general anesthesia and controlled mechanical ventilation. At the end of the surgery, the patient required blood transfusion, which was administered by a pressurizer; he developed cutaneous rash and the blood transfusion was discontinued, hydrocortisone was administered, and the infusion of crystalloids was increased. The child had an immediate and satisfactory response to the treatment. CONCLUSIONS: Latex allergy has become a public health problem and the knowledge of specific therapeutic conducts allows immediate treatment and decreases patient risks.

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