Perioperative Management of a Patient with Cold Urticaria

Cold urticaria consists of an allergic immune response to cold temperatures with symptoms ranging from pruritic wheals to life-threatening angioedema, bronchospasm, or anaphylactic shock. Adequate planning to maintain normothermia perioperatively is vital due to impaired hypothalamic thermoregulatio...

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Autores principales: Agbenyefia, Priscilla, Shilliam, Lance A., Stoicea, Nicoleta, Roth, Andrew, Moran, Kenneth R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2017
Materias:
Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5741599/
https://www.ncbi.nlm.nih.gov/pubmed/29326933
http://dx.doi.org/10.3389/fmed.2017.00222
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author Agbenyefia, Priscilla
Shilliam, Lance A.
Stoicea, Nicoleta
Roth, Andrew
Moran, Kenneth R.
author_facet Agbenyefia, Priscilla
Shilliam, Lance A.
Stoicea, Nicoleta
Roth, Andrew
Moran, Kenneth R.
author_sort Agbenyefia, Priscilla
collection PubMed
description Cold urticaria consists of an allergic immune response to cold temperatures with symptoms ranging from pruritic wheals to life-threatening angioedema, bronchospasm, or anaphylactic shock. Adequate planning to maintain normothermia perioperatively is vital due to impaired hypothalamic thermoregulation and overall depression of sympathetic outflow during deep sedation and general anesthesia. This case report describes the successful perioperative management of a 45-year-old female with a history of cold urticaria undergoing a laparoscopic Nissen fundoplication for refractory gastroesophageal reflux disease and discusses how to appropriately optimize the care of these patients.
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spelling pubmed-57415992018-01-11 Perioperative Management of a Patient with Cold Urticaria Agbenyefia, Priscilla Shilliam, Lance A. Stoicea, Nicoleta Roth, Andrew Moran, Kenneth R. Front Med (Lausanne) Medicine Cold urticaria consists of an allergic immune response to cold temperatures with symptoms ranging from pruritic wheals to life-threatening angioedema, bronchospasm, or anaphylactic shock. Adequate planning to maintain normothermia perioperatively is vital due to impaired hypothalamic thermoregulation and overall depression of sympathetic outflow during deep sedation and general anesthesia. This case report describes the successful perioperative management of a 45-year-old female with a history of cold urticaria undergoing a laparoscopic Nissen fundoplication for refractory gastroesophageal reflux disease and discusses how to appropriately optimize the care of these patients. Frontiers Media S.A. 2017-12-18 /pmc/articles/PMC5741599/ /pubmed/29326933 http://dx.doi.org/10.3389/fmed.2017.00222 Text en Copyright © 2017 Agbenyefia, Shilliam, Stoicea, Roth and Moran. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Agbenyefia, Priscilla
Shilliam, Lance A.
Stoicea, Nicoleta
Roth, Andrew
Moran, Kenneth R.
Perioperative Management of a Patient with Cold Urticaria
title Perioperative Management of a Patient with Cold Urticaria
title_full Perioperative Management of a Patient with Cold Urticaria
title_fullStr Perioperative Management of a Patient with Cold Urticaria
title_full_unstemmed Perioperative Management of a Patient with Cold Urticaria
title_short Perioperative Management of a Patient with Cold Urticaria
title_sort perioperative management of a patient with cold urticaria
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5741599/
https://www.ncbi.nlm.nih.gov/pubmed/29326933
http://dx.doi.org/10.3389/fmed.2017.00222
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