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Anaphylactic shock in a beta-blocked child: usefulness of isoproterenol.

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Momeni, Mona [UCL] Brui, Barbara [UCL] Baele, Philippe [UCL] Matta, Amine [UCL]

Like adults, children taking beta-blockers are at risk for serious hemodynamic instability in case of anaphylaxis. We report a case of severe bradycardia associated with anaphylactic shock after aprotinin in a beta-blocked child, which was resistant to intravenous epinephrine and vascular filling but was treated successfully with isoproterenol.

Document type Article de périodique (Journal article) – Case Reports, Journal Article
Access type Accès restreint
Publication date 2007
Journal information "Paediatric anaesthesia" - Vol. 17, no. 9, p. 897-9 (2007)
Peer reviewed yes
issn 1155-5645
Publication status Publié
Affiliations UCL - (SLuc) Service d'anesthésiologie
UCL - MD/CHIR - Département de chirurgie
MESH Subject Adrenergic beta-Agonists - therapeutic use ; Adrenergic beta-Antagonists - adverse effects ; Anaphylaxis - complications - drug therapy ; Anesthesia ; Aortic Stenosis, Subvalvular - surgery ; Aprotinin - adverse effects ; Atrioventricular Node - surgery ; Bradycardia - complications - drug therapy ; Child, Preschool ; Epinephrine - therapeutic use ; Heart Rate - drug effects ; Humans ; Isoproterenol - therapeutic use ; Male ; Oxygen - blood ; Serine Proteinase Inhibitors - adverse effects ; Vasoconstrictor Agents - therapeutic use
Links
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Bibliographic reference Momeni, Mona ; Brui, Barbara ; Baele, Philippe ; Matta, Amine. Anaphylactic shock in a beta-blocked child: usefulness of isoproterenol.. In: Paediatric anaesthesia, Vol. 17, no. 9, p. 897-9 (2007)
Permanent URL http://hdl.handle.net/2078.1/29442