A Case Report of Anaphylactoid Reaction to Dextran 40.
10.4097/kjae.1994.27.12.1822
- Author:
Kyoung Sub LEE
1
;
Myoung Hun KONG
;
Seong Ho CHANG
;
Hun CHO
;
Hae Ja LIM
;
Nan Suk KIM
Author Information
1. Department of Anesthesiology, College of Medicine, Korea University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Dextran;
Anaphylactoid reaction;
Cardiac arrest
- MeSH:
Dextrans*;
Heart Arrest;
Hip;
Humans;
Microcirculation;
Molecular Weight;
Plasma Volume
- From:Korean Journal of Anesthesiology
1994;27(12):1822-1826
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Dextran 40, a polysaccharide with molecular weight of 40,000, has been used clinically for expansion of plasma volume, improvement of microcirculation in low flow states and thromboprophylaxis especially in major operation such as vascular and hip surgery. However severe anaphylactoid reaction to dextran 40 can occur rarely. We experienced a case of cardisc arrest due to a severe reaction of dextran 40 in a patient who underwent aortofemoral bypass surgery. The patient was resuscitated immediately and followed up carefully.
