Document Detail


Management of anaphylactic shock during intravenous fluorescein angiography at an outpatient clinic.
MedLine Citation:
PMID:  17698436     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the proper management of a severe adverse reaction of anaphylactic shock during intravenous fluorescein angiography at an outpatient clinic. A 72-year-old male developed the severe, life-threatening complication after intravenous injection of sodium fluorescein dye for retinal angiography. Three minutes after receiving an intravenous injection of fluorescein, the patient developed syncope, apnea and circulatory shock. Fortunately, he recovered without any neurologic sequelae after immediate intensive resuscitation with fluid and inotropic support. We highlight the occurrence of anaphylactic shock as a potentially fatal complication during intravenous fluorescein angiography. Thus, one should be alert to the possibility of this adverse event and be prepared to deal with it when fluorescein angiography is performed. When it happens, immediate intensive medical resuscitation is essential to minimize morbidity and to avoid mortality.
Authors:
Chang-Sue Yang; Chun-Sung Sung; Fenq-Lih Lee; Wen-Ming Hsu
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the Chinese Medical Association : JCMA     Volume:  70     ISSN:  1726-4901     ISO Abbreviation:  J Chin Med Assoc     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-08-16     Completed Date:  2007-10-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101174817     Medline TA:  J Chin Med Assoc     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  348-9     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C. csyang@vghtpe.gov.tw
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MeSH Terms
Descriptor/Qualifier:
Aged
Ambulatory Care Facilities
Anaphylaxis / therapy*
Fluorescein Angiography / adverse effects*
Humans
Male

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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