Intra-operative Anaphylactic Reaction

Started by jafo1964, September 16, 2008, 01:37:25 PM

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Intra-operatively a patient develops severe anaphylactic reaction to a colloid infusion. You will prefer to use adrenaline in the following dosage and route

0.3 to 0.5 ml of 1 in 1000 adrenaline I.M
0 (0%)
0.3 to 0.5 ml of 1 in 1000 adrenaline S.C
0 (0%)
0.3 to 0.5 ml of 1 in 1000 Adrenaline I.V
5 (62.5%)
3 to 5 ml of 1 in 10000 Adrenaline IM
0 (0%)
3 to 5 ml of 1 in 10000 Adrenaline IV
3 (37.5%)

Total Members Voted: 8

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jafo1964

September 16, 2008, 01:37:25 PM
I find that a lot of Anaesthesia residents quoting use of IM adrenaline for intra-op Anaphylaxis when there is a good IV line in existence. In my opinion intra-op we should prefer the IV than any other route for administration of drugs because the absorption of the drugs can never be assured by any other route
Would just like to know what the general opinion is

regs

anaesami

#1
May 13, 2009, 10:00:45 AM
intraop anaphylactic reaction the only way is i.v. adrenaline watching the ECG and BP

kalpesh shah

#2
May 14, 2009, 04:05:10 PM
I think about better form of i.v. line like CENTRAL VENOUSE LINE in such situation for better and quick effect with less doses. Even with peripheral i.v. line we need to flush the drug with large amount of saline(may be 20 cc). I.M. has least control on the situation.
regads.
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