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Anaphylactic shock due to intravesical administration of pirarubicin hydrochloride for the fifth time.
- Source :
-
Journal of clinical anesthesia [J Clin Anesth] 2016 Feb; Vol. 28, pp. 2-3. Date of Electronic Publication: 2015 Nov 11. - Publication Year :
- 2016
-
Abstract
- We report the first case of anaphylaxis induced by intravesical administration of pirarubicin hydrochloride during spinal anesthesia. The patient was a 64-year-old woman being followed up for transitional cell carcinoma of the bladder. Anaphylaxis occurred the fifth time pirarubicin hydrochloride was administered intravesically. Pirarubicin hydrochloride, an anthracycline antitumor antibiotic that is widely used for intravesical instillation chemotherapy, is administered at the end of surgery. Because this is about the time that the patient is leaving the operating room, attention to patient monitoring tends to be divided. Because anaphylaxis may occur at this time, staff should remain vigilant of the risk of anaphylaxis.<br /> (Copyright © 2016 Elsevier Inc. All rights reserved.)
- Subjects :
- Administration, Intravesical
Antibiotics, Antineoplastic administration & dosage
Antibiotics, Antineoplastic therapeutic use
Carcinoma, Transitional Cell drug therapy
Carcinoma, Transitional Cell surgery
Doxorubicin administration & dosage
Doxorubicin adverse effects
Doxorubicin therapeutic use
Epinephrine therapeutic use
Female
Humans
Middle Aged
Treatment Outcome
Urinary Bladder Neoplasms drug therapy
Urinary Bladder Neoplasms surgery
Urologic Surgical Procedures adverse effects
Vasoconstrictor Agents therapeutic use
Anaphylaxis drug therapy
Anaphylaxis etiology
Antibiotics, Antineoplastic adverse effects
Carcinoma, Transitional Cell complications
Doxorubicin analogs & derivatives
Urinary Bladder Neoplasms complications
Subjects
Details
- Language :
- English
- ISSN :
- 1873-4529
- Volume :
- 28
- Database :
- MEDLINE
- Journal :
- Journal of clinical anesthesia
- Publication Type :
- Academic Journal
- Accession number :
- 26796606
- Full Text :
- https://doi.org/10.1016/j.jclinane.2015.08.001