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Severe anaphylactoid reaction to hydroxyethyl starch
Author(s) -
CULLEN M. J.,
SINGER M.
Publication year - 1990
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1990.tb14883.x
Subject(s) - hydroxyethyl starch , hetastarch , medicine , bronchospasm , anaphylactoid reactions , anesthesia , pullulan , hydroxyethyl cellulose , anaphylaxis , polysaccharide , allergy , immunology , biochemistry , asthma , cellulose , chemistry
Summary A case is presented of a severe anaphylactoid reaction to hydroxyethyl starch solution that occurred peri‐operatively and required extended intensive management of the resultant bronchospasm and hypotension. Subsequent intradermal injection of hetastarch produced a delayed positive response, suggestive of a complement‐mediated mechanism.