Akademik Veri Yönetim Sistemi
Turkish Journal of RESUSCITATION, cilt.1, sa.3, ss.148-153, 2022 (Hakemli Dergi)
Hydatid cyst rupture can cause allergic reactions that can progress to anaphylactic shock or even death. This article presents the management of resistant anaphylactic shock in a patient with cardiac pacing who underwent laparoscopic hydatid surgery. In this case, who underwent laparoscopic surgery, the initial presentation with sudden hypotension and the late appearance of skin rashes and respiratory symptoms made the differential diagnosis difficult. The presence of cardiac pace due to complete AV block prevented us from evaluating ST segment analysis and tachy-bradycardia. In conclusion, anaphylaxis may develop and can cause refractory anaphylactic shock without significant macroscopic rupture findings during hydatid surgery. Recognition and management of anaphylactic shock can be difficult in cardiac patients with comorbid diseases. It should not be forgotten that early intramuscular adrenaline should be administered in the early recognition and treatment of anaphylactic shock.