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Life-threatening isosulfan blue induced anaphylaxis during laparoscopic hysterectomy

Yıl 2018, Cilt: 2 Sayı: 3, 370 - 373, 01.09.2018
https://doi.org/10.28982/josam.421505

Öz

The use of blue dye alone is the first described technique for sentinel lymph node (SLN) identification in patients with cervical carcinoma. In this procedure, Isosulfan Blue (IB), Methylene Blue or Patent Blue is injected into each quadrant of the cervix. We present an anaphylactic reaction to IB in a patient who underwent a laparoscopic hysterectomy. Approximately 15 min after the dye injection, the patient developed hypotension (55/35 mmHg) with an increase in heart rate (120 beats/minute) and a decrease of pulse oximetry to 85%. She was treated successfully with ephedrine, adrenaline, and fluid administration. When sterile drapes were removed, blue urticarial rashes all over the body were detected. The operation was halted, and the patient was transferred to the intensive care unit (ICU). Almost 4 hours after injection of IB, she experienced a second attack of bronchospasm under mechanical ventilation. She recovered uneventfully and was discharged from the ICU. The patient was referred to a skin prick test which was positive for IB. SLN biopsy for cervical cancers may have an increased risk of anaphylaxis probability due to administered blue dyes. It is crucial that the medical staff involved in these procedures be aware of anaphylactic reactions. This case report highlights the necessity of close monitoring of these patients in both the intraoperative and postoperative periods.

Kaynakça

  • 1. Lambaudie E, Collinet P, Narducci F, Sonoda Y, Papageorgiou T, Carpentier P, et al. Laparoscopic identification of sentinel lymph nodes in early stage cervical cancer: Prospective study using a combination of patent blue dye injection and technetium radiocolloid injection. Gynecol Oncol. 2003;89(1):84–7. doi: 10.1016/S0090-8258(03)00059-3
  • 2. Plante M, Renaud M-C, Têtu B, Harel F, Roy M. Laparoscopic sentinel node mapping in early-stage cervical cancer. Gynecol Oncol. 2003 Dec;91(3):494–503. doi: 10.1016/j.ygyno.2003.08.024
  • 3. Cabanas RM. An approach for the treatment of penile carcinoma. Cancer. 1977; Feb,39(2):456-66. doi: 10.1245/s10434-011-2036-1
  • 4. Dargent D, Enria R. Laparoscopic assessment of the sentinel lymph nodes in early cervical cancer. Technique--preliminary results and future developments. Crit Rev Oncol Hematol. 2003;48(3):305–10. doi: 10.1016/S1040-8428(03)00129-X
  • 5. Bézu C, Coutant C, Salengro A, Daraï E, Rouzier R, Uzan S. Anaphylactic response to blue dye during sentinel lymph node biopsy. Vol. 20, Surgical Oncology. 2011. doi: 10.1016/j.suronc.2010.10.002
  • 6. Gil-Moreno A, Díaz-Feijoo B, Roca I, Puig O, Pérez-Benavente MA, Aguilar I, et al. Total laparoscopic radical hysterectomy with intraoperative sentinel node identification in patients with early invasive cervical cancer. Gynecol Oncol. 2005;96(1):187–93. doi: 10.1016/j.ygyno.2004.09.055
  • 7. Albo D, Wayne JD, Hunt KK, Rahlfs TF, Singletary SE, Ames FC, et al. Anaphylactic reactions to isosulfan blue dye during sentinel lymph node biopsy for breast cancer. Am J Surg. 2001;182(4):393–8. doi: 10.1016/S0002-9610(01)00734-6
  • 8. Leong SP, Donegan E, Heffernon W, Dean S, Katz JA. Adverse reactions to isosulfan blue during selective sentinel lymph node dissection in melanoma. Ann Surg Oncol. 2000;7(5):361–6. doi: 10.1007/s10434-000-0361-x
  • 9. Sandhu S, Farag E, Argalious M. Anaphylaxis to isosulfan blue dye during sentinel lymph node biopsy. J Clin Anesth. 2005;17(8):633–5. doi: 10.1016/j.jclinane.2005.03.006
  • 10. Beenen E, de Roy van Zuidewijn DBW. Patients blue on patent blue: An adverse reaction during four sentinel node procedures. Surg Oncol. 2005;14(4):151–4. doi: 10.1016/j.suronc.2005.12.001
  • 11. Liang MI, Carson WE. Biphasic anaphylactic reaction to blue dye during sentinel lymph node biopsy. World J Surg Oncol. 2008;6. doi: 10.1186/1477-7819-6-79
  • 12. Reed H, Shaw C, Rice M, Le HT. Isosulfan blue dye anaphylaxis presenting as impaired ability to ventilate via a laryngeal. Case Reports. 2014;3(1):1–2. doi: 10.1213/XAA.0000000000000036
  • 13. Hepner DL, Castells MC. Anaphylaxis During the Perioperative Period. Anesth Analg. 2003;1381–95. doi: 10.1213/01.ANE.0000082993.84883.7D
  • 14. Levy JH. Anaphylactic reactions. In: Barash PG, editor. Clinical Anesthesia. 7th ed. Philadelphia: LIPPINCOTT WILLIAMS & WILKINS; 2013. p. 287–302.
  • 15. Lonjaret L, Lairez O, Minville V, Geeraerts T. Optimal perioperative management of arterial blood pressure. Integr Blood Press Control. 2014;7:49–59.
  • 16. Harper NJN, Dixon T, Dugué, Edgar DM, Fay A, Gooi HC, et al. Guidelines suspected anaphylactic reactions associated with anaesthesia. Anaesthesia. 2009;64(2):199–211.
  • 17. Raut CP, Hunt KK, Akins JS, Daley MD, Ross MI, Singletary SE, et al. Incidence of anaphylactoid reactions to isosulfan blue dye during breast carcinoma lymphatic mapping in patients treated with preoperative prophylaxis: Results of a surgical prospective clinical practice protocol. Cancer. 2005;104(4):692–9. doi: 10.1002/cncr.21226
  • 18. Vokach-Brodsky L, Jeffrey SS, Lemmens HJM, Brock-Utne JG. Isosulfan blue affects pulse oximetry. Anesthesiology. 2000;93(4):1002–3. PMID: 11020754
  • 19. Ortiz D, Alvikas J, Riker AI. A Case of Severe Anaphylactic Reaction Secondary to Isosulfan Blue Dye Injection. Ochsner J. 2015;15(2):183–6.
  • 20. Howard JD, Moo V, Sivalingam P. Anaphylaxis and other adversereactions to blue dyes: a case series. Anesth Intensive Care.2011;39:287-92.
  • 21. Brenet O, Lalourcey L, Queinnec M, et al. Hypersensitivity reac-tions to Patent Blue V in breast cancer surgery: a prospectivemulticentre study. Acta Anesthesiol Scand. 2013; 57:106-11.

Laparoskopik histerektomi ameliyatı sırasında gelişen izosulfan mavisi ilişkili hayatı tehdit eden anafilaksi

Yıl 2018, Cilt: 2 Sayı: 3, 370 - 373, 01.09.2018
https://doi.org/10.28982/josam.421505

Öz

Tek başına mavi boya kullanımı servikal karsinomlu hastalarda sentinel lenf nodu (SLN) tanımlaması için ilk tarif edilen tekniktir. Bu prosedürde, serviksin her çeyreğine İzosulfan Mavisi (İM), Metilen Mavisi veya Patent Mavisi enjekte edilir. Biz bu olguda laparoskopik histerektomi uygulanan bir hastada İM’ye karşı gelişen anafilaktik bir reaksiyonu sunduk. Boya enjeksiyonundan yaklaşık 15 dakika sonra hastada kalp atım hızında artış (120 atım / dakika) ve nabız oksimetresinde %85'e varan bir azalma ile hipotansiyon (55/35 mmHg) gelişti. Hasta, efedrin, adrenalin ve sıvı uygulaması ile başarılı bir şekilde tedavi edildi. Steril örtüler açıldığında, vücudun her yerinde mavi ürtiker döküntüleri tespit edildi. Operasyon durduruldu ve hasta yoğun bakım ünitesine (YBÜ) transfer edildi. Hasta İM'nin enjeksiyonundan yaklaşık 4 saat sonra, mekanik ventilasyon altında ikinci bir bronkospazm atağı yaşadı. Hasta sorunsuz bir şekilde iyileşti ve yoğun bakımdan taburcu edildi. Hasta, İM için pozitif olan bir deri testine yönlendirildi. Servikal kanserler için SLN biyopsisi, uygulanan mavi boyalara bağlı olarak artmış anafilaksi riski taşıyabilir. Bu prosedürlere dahil olan tıbbi personelin anafilaktik reaksiyonlara karşı dikkatli çok önemlidir. Bu olgu sunumu, bu hastaların hem intraoperatif hem de postoperatif dönemde yakından izlenmesinin gerekliliğini vurgulamaktadır.

Kaynakça

  • 1. Lambaudie E, Collinet P, Narducci F, Sonoda Y, Papageorgiou T, Carpentier P, et al. Laparoscopic identification of sentinel lymph nodes in early stage cervical cancer: Prospective study using a combination of patent blue dye injection and technetium radiocolloid injection. Gynecol Oncol. 2003;89(1):84–7. doi: 10.1016/S0090-8258(03)00059-3
  • 2. Plante M, Renaud M-C, Têtu B, Harel F, Roy M. Laparoscopic sentinel node mapping in early-stage cervical cancer. Gynecol Oncol. 2003 Dec;91(3):494–503. doi: 10.1016/j.ygyno.2003.08.024
  • 3. Cabanas RM. An approach for the treatment of penile carcinoma. Cancer. 1977; Feb,39(2):456-66. doi: 10.1245/s10434-011-2036-1
  • 4. Dargent D, Enria R. Laparoscopic assessment of the sentinel lymph nodes in early cervical cancer. Technique--preliminary results and future developments. Crit Rev Oncol Hematol. 2003;48(3):305–10. doi: 10.1016/S1040-8428(03)00129-X
  • 5. Bézu C, Coutant C, Salengro A, Daraï E, Rouzier R, Uzan S. Anaphylactic response to blue dye during sentinel lymph node biopsy. Vol. 20, Surgical Oncology. 2011. doi: 10.1016/j.suronc.2010.10.002
  • 6. Gil-Moreno A, Díaz-Feijoo B, Roca I, Puig O, Pérez-Benavente MA, Aguilar I, et al. Total laparoscopic radical hysterectomy with intraoperative sentinel node identification in patients with early invasive cervical cancer. Gynecol Oncol. 2005;96(1):187–93. doi: 10.1016/j.ygyno.2004.09.055
  • 7. Albo D, Wayne JD, Hunt KK, Rahlfs TF, Singletary SE, Ames FC, et al. Anaphylactic reactions to isosulfan blue dye during sentinel lymph node biopsy for breast cancer. Am J Surg. 2001;182(4):393–8. doi: 10.1016/S0002-9610(01)00734-6
  • 8. Leong SP, Donegan E, Heffernon W, Dean S, Katz JA. Adverse reactions to isosulfan blue during selective sentinel lymph node dissection in melanoma. Ann Surg Oncol. 2000;7(5):361–6. doi: 10.1007/s10434-000-0361-x
  • 9. Sandhu S, Farag E, Argalious M. Anaphylaxis to isosulfan blue dye during sentinel lymph node biopsy. J Clin Anesth. 2005;17(8):633–5. doi: 10.1016/j.jclinane.2005.03.006
  • 10. Beenen E, de Roy van Zuidewijn DBW. Patients blue on patent blue: An adverse reaction during four sentinel node procedures. Surg Oncol. 2005;14(4):151–4. doi: 10.1016/j.suronc.2005.12.001
  • 11. Liang MI, Carson WE. Biphasic anaphylactic reaction to blue dye during sentinel lymph node biopsy. World J Surg Oncol. 2008;6. doi: 10.1186/1477-7819-6-79
  • 12. Reed H, Shaw C, Rice M, Le HT. Isosulfan blue dye anaphylaxis presenting as impaired ability to ventilate via a laryngeal. Case Reports. 2014;3(1):1–2. doi: 10.1213/XAA.0000000000000036
  • 13. Hepner DL, Castells MC. Anaphylaxis During the Perioperative Period. Anesth Analg. 2003;1381–95. doi: 10.1213/01.ANE.0000082993.84883.7D
  • 14. Levy JH. Anaphylactic reactions. In: Barash PG, editor. Clinical Anesthesia. 7th ed. Philadelphia: LIPPINCOTT WILLIAMS & WILKINS; 2013. p. 287–302.
  • 15. Lonjaret L, Lairez O, Minville V, Geeraerts T. Optimal perioperative management of arterial blood pressure. Integr Blood Press Control. 2014;7:49–59.
  • 16. Harper NJN, Dixon T, Dugué, Edgar DM, Fay A, Gooi HC, et al. Guidelines suspected anaphylactic reactions associated with anaesthesia. Anaesthesia. 2009;64(2):199–211.
  • 17. Raut CP, Hunt KK, Akins JS, Daley MD, Ross MI, Singletary SE, et al. Incidence of anaphylactoid reactions to isosulfan blue dye during breast carcinoma lymphatic mapping in patients treated with preoperative prophylaxis: Results of a surgical prospective clinical practice protocol. Cancer. 2005;104(4):692–9. doi: 10.1002/cncr.21226
  • 18. Vokach-Brodsky L, Jeffrey SS, Lemmens HJM, Brock-Utne JG. Isosulfan blue affects pulse oximetry. Anesthesiology. 2000;93(4):1002–3. PMID: 11020754
  • 19. Ortiz D, Alvikas J, Riker AI. A Case of Severe Anaphylactic Reaction Secondary to Isosulfan Blue Dye Injection. Ochsner J. 2015;15(2):183–6.
  • 20. Howard JD, Moo V, Sivalingam P. Anaphylaxis and other adversereactions to blue dyes: a case series. Anesth Intensive Care.2011;39:287-92.
  • 21. Brenet O, Lalourcey L, Queinnec M, et al. Hypersensitivity reac-tions to Patent Blue V in breast cancer surgery: a prospectivemulticentre study. Acta Anesthesiol Scand. 2013; 57:106-11.
Toplam 21 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Olgu sunumu
Yazarlar

Melike Korkmaz Toker

Başak Altıparmak

Mustafa Turan Bu kişi benim

Bakiye Uğur Bu kişi benim

Semra Gümüş Demirbilek

Yayımlanma Tarihi 1 Eylül 2018
Yayımlandığı Sayı Yıl 2018 Cilt: 2 Sayı: 3

Kaynak Göster

APA Korkmaz Toker, M., Altıparmak, B., Turan, M., Uğur, B., vd. (2018). Life-threatening isosulfan blue induced anaphylaxis during laparoscopic hysterectomy. Journal of Surgery and Medicine, 2(3), 370-373. https://doi.org/10.28982/josam.421505
AMA Korkmaz Toker M, Altıparmak B, Turan M, Uğur B, Gümüş Demirbilek S. Life-threatening isosulfan blue induced anaphylaxis during laparoscopic hysterectomy. J Surg Med. Eylül 2018;2(3):370-373. doi:10.28982/josam.421505
Chicago Korkmaz Toker, Melike, Başak Altıparmak, Mustafa Turan, Bakiye Uğur, ve Semra Gümüş Demirbilek. “Life-Threatening Isosulfan Blue Induced Anaphylaxis During Laparoscopic Hysterectomy”. Journal of Surgery and Medicine 2, sy. 3 (Eylül 2018): 370-73. https://doi.org/10.28982/josam.421505.
EndNote Korkmaz Toker M, Altıparmak B, Turan M, Uğur B, Gümüş Demirbilek S (01 Eylül 2018) Life-threatening isosulfan blue induced anaphylaxis during laparoscopic hysterectomy. Journal of Surgery and Medicine 2 3 370–373.
IEEE M. Korkmaz Toker, B. Altıparmak, M. Turan, B. Uğur, ve S. Gümüş Demirbilek, “Life-threatening isosulfan blue induced anaphylaxis during laparoscopic hysterectomy”, J Surg Med, c. 2, sy. 3, ss. 370–373, 2018, doi: 10.28982/josam.421505.
ISNAD Korkmaz Toker, Melike vd. “Life-Threatening Isosulfan Blue Induced Anaphylaxis During Laparoscopic Hysterectomy”. Journal of Surgery and Medicine 2/3 (Eylül 2018), 370-373. https://doi.org/10.28982/josam.421505.
JAMA Korkmaz Toker M, Altıparmak B, Turan M, Uğur B, Gümüş Demirbilek S. Life-threatening isosulfan blue induced anaphylaxis during laparoscopic hysterectomy. J Surg Med. 2018;2:370–373.
MLA Korkmaz Toker, Melike vd. “Life-Threatening Isosulfan Blue Induced Anaphylaxis During Laparoscopic Hysterectomy”. Journal of Surgery and Medicine, c. 2, sy. 3, 2018, ss. 370-3, doi:10.28982/josam.421505.
Vancouver Korkmaz Toker M, Altıparmak B, Turan M, Uğur B, Gümüş Demirbilek S. Life-threatening isosulfan blue induced anaphylaxis during laparoscopic hysterectomy. J Surg Med. 2018;2(3):370-3.