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Life‐threatening anaphylactic reaction after the administration of airway topical lidocaine
Author(s) -
Soong WenJue,
Lee YuSheng,
Soong YenHui,
Tsao PeiChen,
Yang ChiaFeng,
Jeng MeiJi,
Peng YuYun
Publication year - 2011
Publication title -
pediatric pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.866
H-Index - 106
eISSN - 1099-0496
pISSN - 8755-6863
DOI - 10.1002/ppul.21399
Subject(s) - medicine , airway , anesthesia , lidocaine , anaphylaxis , epinephrine , resuscitation , lumen (anatomy) , ventilation (architecture) , endotracheal tube , bronchoscopy , surgery , intubation , allergy , mechanical engineering , engineering , immunology
A 9‐year‐old boy who developed a life‐threatening anaphylaxis reaction of the airway and subsequent dyspnea and circulation collapse because of instilled the topical lidocaine into the airway within 2 min before performing flexible bronchoscopy (FB). FB revealed swollen airway mucosa and extensive foamy secretion that severely compromised the ventilation lumen. Rapid detection with FB and immediate resuscitation, including prompt administration of epinephrine, volume expander, and positive pressure ventilation with pure oxygen via an endotracheal tube, were successfully save the patient's life. Pediatr. Pulmonol. 2011; 46:505–508. © 2010 Wiley‐Liss, Inc.