Anaphylaxis on graft reperfusion during orthotopic liver transplantation: A case study

Introduction. Hemodynamic instability is a common occurrence during liver transplantation (LT). Hypotension and hemodynamic instability during graft reperfusion are most commonly consequences of the postreperfusion syndrome (PRS). Case Outline. In this report, we present a case of severe cardiovascu...
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Gespeichert in:

Autor*in:	Anđelić Nada [verfasserIn] Erdeljan Svetlana [verfasserIn] Popović Radmila [verfasserIn] Božić Teodora [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch ; srp

Erschienen:	2015

Schlagwörter:	liver transplantation graft reperfusion anaphylaxis

Übergeordnetes Werk:	In: Srpski Arhiv za Celokupno Lekarstvo - Serbian Medical Society, 2010, 143(2015), 7-8, Seite 467-470
Übergeordnetes Werk:	volume:143 ; year:2015 ; number:7-8 ; pages:467-470

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.2298/SARH1508467A

Katalog-ID:	DOAJ05551829X

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520			\|a Introduction. Hemodynamic instability is a common occurrence during liver transplantation (LT). Hypotension and hemodynamic instability during graft reperfusion are most commonly consequences of the postreperfusion syndrome (PRS). Case Outline. In this report, we present a case of severe cardiovascular collapse leading to cardiac arrest which occurred in the course of graft reperfusion during LT. Persistent hypotension, non-responsive to regular measures such as volume filling and the use of vasopressors, yielded the question of whether other mechanisms were involved in causing it. Diffuse redness of the face and body, swelling of the face, lips and tongue with tongue prolapse, accompanied with severe cardiovascular collapse indicated that it was an anaphylactic reaction. This caused a dilemma as to what instigated the reaction. The trigger may have been the pharmacological substance administered during the graft reperfusion, or the one administered immediately prior to the reperfusion. The substances in question would most likely be either the University of Wisconsin preservation solution (UW), which was administered during the reperfusion, or Hepatect, which the patient received immediately prior to reperfusion. Conclusion. The clinical syndrome resulting from degranulation of mast cells and basophils in anaphylaxis is very similar to the PRS in LT. Clinical features play the most important role in establishing a timely diagnosis and early treatment of anaphylaxis. Swift administration of epinephrine reduces the chances of a fatal outcome. Better information on both donor and recipient can improve the efficiency of therapy and prophylaxis for anaphylaxis.
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allfields	10.2298/SARH1508467A doi (DE-627)DOAJ05551829X (DE-599)DOAJ6e9bd3aba0a44d11bcf69cafa29073fd DE-627 ger DE-627 rakwb eng srp Anđelić Nada verfasserin aut Anaphylaxis on graft reperfusion during orthotopic liver transplantation: A case study 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Hemodynamic instability is a common occurrence during liver transplantation (LT). Hypotension and hemodynamic instability during graft reperfusion are most commonly consequences of the postreperfusion syndrome (PRS). Case Outline. In this report, we present a case of severe cardiovascular collapse leading to cardiac arrest which occurred in the course of graft reperfusion during LT. Persistent hypotension, non-responsive to regular measures such as volume filling and the use of vasopressors, yielded the question of whether other mechanisms were involved in causing it. Diffuse redness of the face and body, swelling of the face, lips and tongue with tongue prolapse, accompanied with severe cardiovascular collapse indicated that it was an anaphylactic reaction. This caused a dilemma as to what instigated the reaction. The trigger may have been the pharmacological substance administered during the graft reperfusion, or the one administered immediately prior to the reperfusion. The substances in question would most likely be either the University of Wisconsin preservation solution (UW), which was administered during the reperfusion, or Hepatect, which the patient received immediately prior to reperfusion. Conclusion. The clinical syndrome resulting from degranulation of mast cells and basophils in anaphylaxis is very similar to the PRS in LT. Clinical features play the most important role in establishing a timely diagnosis and early treatment of anaphylaxis. Swift administration of epinephrine reduces the chances of a fatal outcome. Better information on both donor and recipient can improve the efficiency of therapy and prophylaxis for anaphylaxis. liver transplantation graft reperfusion anaphylaxis Medicine R Erdeljan Svetlana verfasserin aut Popović Radmila verfasserin aut Božić Teodora verfasserin aut In Srpski Arhiv za Celokupno Lekarstvo Serbian Medical Society, 2010 143(2015), 7-8, Seite 467-470 (DE-627)637421205 (DE-600)2577665-4 24060895 nnns volume:143 year:2015 number:7-8 pages:467-470 https://doi.org/10.2298/SARH1508467A kostenfrei https://doaj.org/article/6e9bd3aba0a44d11bcf69cafa29073fd kostenfrei http://www.doiserbia.nb.rs/img/doi/0370-8179/2015/0370-81791508467A.pdf kostenfrei https://doaj.org/toc/0370-8179 Journal toc kostenfrei https://doaj.org/toc/2406-0895 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 143 2015 7-8 467-470
spelling	10.2298/SARH1508467A doi (DE-627)DOAJ05551829X (DE-599)DOAJ6e9bd3aba0a44d11bcf69cafa29073fd DE-627 ger DE-627 rakwb eng srp Anđelić Nada verfasserin aut Anaphylaxis on graft reperfusion during orthotopic liver transplantation: A case study 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Hemodynamic instability is a common occurrence during liver transplantation (LT). Hypotension and hemodynamic instability during graft reperfusion are most commonly consequences of the postreperfusion syndrome (PRS). Case Outline. In this report, we present a case of severe cardiovascular collapse leading to cardiac arrest which occurred in the course of graft reperfusion during LT. Persistent hypotension, non-responsive to regular measures such as volume filling and the use of vasopressors, yielded the question of whether other mechanisms were involved in causing it. Diffuse redness of the face and body, swelling of the face, lips and tongue with tongue prolapse, accompanied with severe cardiovascular collapse indicated that it was an anaphylactic reaction. This caused a dilemma as to what instigated the reaction. The trigger may have been the pharmacological substance administered during the graft reperfusion, or the one administered immediately prior to the reperfusion. The substances in question would most likely be either the University of Wisconsin preservation solution (UW), which was administered during the reperfusion, or Hepatect, which the patient received immediately prior to reperfusion. Conclusion. The clinical syndrome resulting from degranulation of mast cells and basophils in anaphylaxis is very similar to the PRS in LT. Clinical features play the most important role in establishing a timely diagnosis and early treatment of anaphylaxis. Swift administration of epinephrine reduces the chances of a fatal outcome. Better information on both donor and recipient can improve the efficiency of therapy and prophylaxis for anaphylaxis. liver transplantation graft reperfusion anaphylaxis Medicine R Erdeljan Svetlana verfasserin aut Popović Radmila verfasserin aut Božić Teodora verfasserin aut In Srpski Arhiv za Celokupno Lekarstvo Serbian Medical Society, 2010 143(2015), 7-8, Seite 467-470 (DE-627)637421205 (DE-600)2577665-4 24060895 nnns volume:143 year:2015 number:7-8 pages:467-470 https://doi.org/10.2298/SARH1508467A kostenfrei https://doaj.org/article/6e9bd3aba0a44d11bcf69cafa29073fd kostenfrei http://www.doiserbia.nb.rs/img/doi/0370-8179/2015/0370-81791508467A.pdf kostenfrei https://doaj.org/toc/0370-8179 Journal toc kostenfrei https://doaj.org/toc/2406-0895 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 143 2015 7-8 467-470
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allfieldsGer	10.2298/SARH1508467A doi (DE-627)DOAJ05551829X (DE-599)DOAJ6e9bd3aba0a44d11bcf69cafa29073fd DE-627 ger DE-627 rakwb eng srp Anđelić Nada verfasserin aut Anaphylaxis on graft reperfusion during orthotopic liver transplantation: A case study 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Hemodynamic instability is a common occurrence during liver transplantation (LT). Hypotension and hemodynamic instability during graft reperfusion are most commonly consequences of the postreperfusion syndrome (PRS). Case Outline. In this report, we present a case of severe cardiovascular collapse leading to cardiac arrest which occurred in the course of graft reperfusion during LT. Persistent hypotension, non-responsive to regular measures such as volume filling and the use of vasopressors, yielded the question of whether other mechanisms were involved in causing it. Diffuse redness of the face and body, swelling of the face, lips and tongue with tongue prolapse, accompanied with severe cardiovascular collapse indicated that it was an anaphylactic reaction. This caused a dilemma as to what instigated the reaction. The trigger may have been the pharmacological substance administered during the graft reperfusion, or the one administered immediately prior to the reperfusion. The substances in question would most likely be either the University of Wisconsin preservation solution (UW), which was administered during the reperfusion, or Hepatect, which the patient received immediately prior to reperfusion. Conclusion. The clinical syndrome resulting from degranulation of mast cells and basophils in anaphylaxis is very similar to the PRS in LT. Clinical features play the most important role in establishing a timely diagnosis and early treatment of anaphylaxis. Swift administration of epinephrine reduces the chances of a fatal outcome. Better information on both donor and recipient can improve the efficiency of therapy and prophylaxis for anaphylaxis. liver transplantation graft reperfusion anaphylaxis Medicine R Erdeljan Svetlana verfasserin aut Popović Radmila verfasserin aut Božić Teodora verfasserin aut In Srpski Arhiv za Celokupno Lekarstvo Serbian Medical Society, 2010 143(2015), 7-8, Seite 467-470 (DE-627)637421205 (DE-600)2577665-4 24060895 nnns volume:143 year:2015 number:7-8 pages:467-470 https://doi.org/10.2298/SARH1508467A kostenfrei https://doaj.org/article/6e9bd3aba0a44d11bcf69cafa29073fd kostenfrei http://www.doiserbia.nb.rs/img/doi/0370-8179/2015/0370-81791508467A.pdf kostenfrei https://doaj.org/toc/0370-8179 Journal toc kostenfrei https://doaj.org/toc/2406-0895 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 143 2015 7-8 467-470
allfieldsSound	10.2298/SARH1508467A doi (DE-627)DOAJ05551829X (DE-599)DOAJ6e9bd3aba0a44d11bcf69cafa29073fd DE-627 ger DE-627 rakwb eng srp Anđelić Nada verfasserin aut Anaphylaxis on graft reperfusion during orthotopic liver transplantation: A case study 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Hemodynamic instability is a common occurrence during liver transplantation (LT). Hypotension and hemodynamic instability during graft reperfusion are most commonly consequences of the postreperfusion syndrome (PRS). Case Outline. In this report, we present a case of severe cardiovascular collapse leading to cardiac arrest which occurred in the course of graft reperfusion during LT. Persistent hypotension, non-responsive to regular measures such as volume filling and the use of vasopressors, yielded the question of whether other mechanisms were involved in causing it. Diffuse redness of the face and body, swelling of the face, lips and tongue with tongue prolapse, accompanied with severe cardiovascular collapse indicated that it was an anaphylactic reaction. This caused a dilemma as to what instigated the reaction. The trigger may have been the pharmacological substance administered during the graft reperfusion, or the one administered immediately prior to the reperfusion. The substances in question would most likely be either the University of Wisconsin preservation solution (UW), which was administered during the reperfusion, or Hepatect, which the patient received immediately prior to reperfusion. Conclusion. The clinical syndrome resulting from degranulation of mast cells and basophils in anaphylaxis is very similar to the PRS in LT. Clinical features play the most important role in establishing a timely diagnosis and early treatment of anaphylaxis. Swift administration of epinephrine reduces the chances of a fatal outcome. Better information on both donor and recipient can improve the efficiency of therapy and prophylaxis for anaphylaxis. liver transplantation graft reperfusion anaphylaxis Medicine R Erdeljan Svetlana verfasserin aut Popović Radmila verfasserin aut Božić Teodora verfasserin aut In Srpski Arhiv za Celokupno Lekarstvo Serbian Medical Society, 2010 143(2015), 7-8, Seite 467-470 (DE-627)637421205 (DE-600)2577665-4 24060895 nnns volume:143 year:2015 number:7-8 pages:467-470 https://doi.org/10.2298/SARH1508467A kostenfrei https://doaj.org/article/6e9bd3aba0a44d11bcf69cafa29073fd kostenfrei http://www.doiserbia.nb.rs/img/doi/0370-8179/2015/0370-81791508467A.pdf kostenfrei https://doaj.org/toc/0370-8179 Journal toc kostenfrei https://doaj.org/toc/2406-0895 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 143 2015 7-8 467-470
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Hemodynamic instability is a common occurrence during liver transplantation (LT). Hypotension and hemodynamic instability during graft reperfusion are most commonly consequences of the postreperfusion syndrome (PRS). Case Outline. In this report, we present a case of severe cardiovascular collapse leading to cardiac arrest which occurred in the course of graft reperfusion during LT. Persistent hypotension, non-responsive to regular measures such as volume filling and the use of vasopressors, yielded the question of whether other mechanisms were involved in causing it. Diffuse redness of the face and body, swelling of the face, lips and tongue with tongue prolapse, accompanied with severe cardiovascular collapse indicated that it was an anaphylactic reaction. This caused a dilemma as to what instigated the reaction. The trigger may have been the pharmacological substance administered during the graft reperfusion, or the one administered immediately prior to the reperfusion. The substances in question would most likely be either the University of Wisconsin preservation solution (UW), which was administered during the reperfusion, or Hepatect, which the patient received immediately prior to reperfusion. Conclusion. The clinical syndrome resulting from degranulation of mast cells and basophils in anaphylaxis is very similar to the PRS in LT. Clinical features play the most important role in establishing a timely diagnosis and early treatment of anaphylaxis. Swift administration of epinephrine reduces the chances of a fatal outcome. 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author	Anđelić Nada
spellingShingle	Anđelić Nada misc liver transplantation misc graft reperfusion misc anaphylaxis misc Medicine misc R Anaphylaxis on graft reperfusion during orthotopic liver transplantation: A case study
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topic_title	Anaphylaxis on graft reperfusion during orthotopic liver transplantation: A case study liver transplantation graft reperfusion anaphylaxis
topic	misc liver transplantation misc graft reperfusion misc anaphylaxis misc Medicine misc R
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title	Anaphylaxis on graft reperfusion during orthotopic liver transplantation: A case study
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title_full	Anaphylaxis on graft reperfusion during orthotopic liver transplantation: A case study
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title_sort	anaphylaxis on graft reperfusion during orthotopic liver transplantation: a case study
title_auth	Anaphylaxis on graft reperfusion during orthotopic liver transplantation: A case study
abstract	Introduction. Hemodynamic instability is a common occurrence during liver transplantation (LT). Hypotension and hemodynamic instability during graft reperfusion are most commonly consequences of the postreperfusion syndrome (PRS). Case Outline. In this report, we present a case of severe cardiovascular collapse leading to cardiac arrest which occurred in the course of graft reperfusion during LT. Persistent hypotension, non-responsive to regular measures such as volume filling and the use of vasopressors, yielded the question of whether other mechanisms were involved in causing it. Diffuse redness of the face and body, swelling of the face, lips and tongue with tongue prolapse, accompanied with severe cardiovascular collapse indicated that it was an anaphylactic reaction. This caused a dilemma as to what instigated the reaction. The trigger may have been the pharmacological substance administered during the graft reperfusion, or the one administered immediately prior to the reperfusion. The substances in question would most likely be either the University of Wisconsin preservation solution (UW), which was administered during the reperfusion, or Hepatect, which the patient received immediately prior to reperfusion. Conclusion. The clinical syndrome resulting from degranulation of mast cells and basophils in anaphylaxis is very similar to the PRS in LT. Clinical features play the most important role in establishing a timely diagnosis and early treatment of anaphylaxis. Swift administration of epinephrine reduces the chances of a fatal outcome. Better information on both donor and recipient can improve the efficiency of therapy and prophylaxis for anaphylaxis.
abstractGer	Introduction. Hemodynamic instability is a common occurrence during liver transplantation (LT). Hypotension and hemodynamic instability during graft reperfusion are most commonly consequences of the postreperfusion syndrome (PRS). Case Outline. In this report, we present a case of severe cardiovascular collapse leading to cardiac arrest which occurred in the course of graft reperfusion during LT. Persistent hypotension, non-responsive to regular measures such as volume filling and the use of vasopressors, yielded the question of whether other mechanisms were involved in causing it. Diffuse redness of the face and body, swelling of the face, lips and tongue with tongue prolapse, accompanied with severe cardiovascular collapse indicated that it was an anaphylactic reaction. This caused a dilemma as to what instigated the reaction. The trigger may have been the pharmacological substance administered during the graft reperfusion, or the one administered immediately prior to the reperfusion. The substances in question would most likely be either the University of Wisconsin preservation solution (UW), which was administered during the reperfusion, or Hepatect, which the patient received immediately prior to reperfusion. Conclusion. The clinical syndrome resulting from degranulation of mast cells and basophils in anaphylaxis is very similar to the PRS in LT. Clinical features play the most important role in establishing a timely diagnosis and early treatment of anaphylaxis. Swift administration of epinephrine reduces the chances of a fatal outcome. Better information on both donor and recipient can improve the efficiency of therapy and prophylaxis for anaphylaxis.
abstract_unstemmed	Introduction. Hemodynamic instability is a common occurrence during liver transplantation (LT). Hypotension and hemodynamic instability during graft reperfusion are most commonly consequences of the postreperfusion syndrome (PRS). Case Outline. In this report, we present a case of severe cardiovascular collapse leading to cardiac arrest which occurred in the course of graft reperfusion during LT. Persistent hypotension, non-responsive to regular measures such as volume filling and the use of vasopressors, yielded the question of whether other mechanisms were involved in causing it. Diffuse redness of the face and body, swelling of the face, lips and tongue with tongue prolapse, accompanied with severe cardiovascular collapse indicated that it was an anaphylactic reaction. This caused a dilemma as to what instigated the reaction. The trigger may have been the pharmacological substance administered during the graft reperfusion, or the one administered immediately prior to the reperfusion. The substances in question would most likely be either the University of Wisconsin preservation solution (UW), which was administered during the reperfusion, or Hepatect, which the patient received immediately prior to reperfusion. Conclusion. The clinical syndrome resulting from degranulation of mast cells and basophils in anaphylaxis is very similar to the PRS in LT. Clinical features play the most important role in establishing a timely diagnosis and early treatment of anaphylaxis. Swift administration of epinephrine reduces the chances of a fatal outcome. Better information on both donor and recipient can improve the efficiency of therapy and prophylaxis for anaphylaxis.
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title_short	Anaphylaxis on graft reperfusion during orthotopic liver transplantation: A case study
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