Ultrasonic volume assessment-guided successful rescue of cardiac arrest caused by intraoperative severe anaphylactic shock: a case report
Abstract Background Perioperative anaphylaxis (POA) is a potentially life-threatening event. The incidence of POA is on the rise, but few case reports are available on cardiac arrest caused by post-anesthesia anaphylactic shock especially those successfully rescued under the guidance of ultrasonic v...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-07-01
|
| Series: | BMC Anesthesiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12871-025-03189-6 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849767603352895488 |
|---|---|
| author | Yin-guang Yao Zhi-lan Dou Fang Zheng kai-lai Zhu Jian-Wei Zhou Jian Zhou Chuan-Guang Wang |
| author_facet | Yin-guang Yao Zhi-lan Dou Fang Zheng kai-lai Zhu Jian-Wei Zhou Jian Zhou Chuan-Guang Wang |
| author_sort | Yin-guang Yao |
| collection | DOAJ |
| description | Abstract Background Perioperative anaphylaxis (POA) is a potentially life-threatening event. The incidence of POA is on the rise, but few case reports are available on cardiac arrest caused by post-anesthesia anaphylactic shock especially those successfully rescued under the guidance of ultrasonic volume assessment. Case presentation We herein report a case of cardiac arrest caused by intraoperative anaphylactic shock. A patient was admitted to the hospital due to left lumbar pain for two days and was diagnosed with left renal and ureteral calculi accompanied by hydronephrosis and infection. She was scheduled to undergo transurethral flexible ureteroscopic lithotripsy for bilateral renal and ureteral calculi under general anesthesia. Refractory hypotension occurred intraoperatively, so vasoactive drugs were applied, but the effect was unsatisfactory and cardiac arrest occurred later. At that time, the patient did not develop common allergic symptoms such as rash. After cardiopulmonary resuscitation (CPR), the patient’s heart rate recovered, but she still presented with persistent hypotension. After the anesthesiologist carried out ultrasonic volume assessment-guided fluid resuscitation, the patient experienced systemic rash, in which case severe anaphylactic shock was confirmed. After epinephrine and antianaphylactic treatment were given, the patient’s vital signs tended to become stable, and the operation was successfully completed. Conclusion With the assistance of the medical team, we successfully rescued a patient with cardiac arrest caused by intraoperative severe anaphylactic shock under the guidance of ultrasonic volume assessment. The operation was successfully completed, and the patient was discharged two days postoperatively and had a good prognosis. |
| format | Article |
| id | doaj-art-d777f087b4fe44c9bdd2be78a531be72 |
| institution | DOAJ |
| issn | 1471-2253 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj-art-d777f087b4fe44c9bdd2be78a531be722025-08-20T03:04:07ZengBMCBMC Anesthesiology1471-22532025-07-012511710.1186/s12871-025-03189-6Ultrasonic volume assessment-guided successful rescue of cardiac arrest caused by intraoperative severe anaphylactic shock: a case reportYin-guang Yao0Zhi-lan Dou1Fang Zheng2kai-lai Zhu3Jian-Wei Zhou4Jian Zhou5Chuan-Guang Wang6Department of Anesthesia, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui Municipal Central HospitalDepartment of Anesthesia, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui Municipal Central HospitalDepartment of Anesthesia, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui Municipal Central HospitalDepartment of Anesthesia, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui Municipal Central HospitalDepartment of Anesthesia, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui Municipal Central HospitalDepartment of Anesthesia, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui Municipal Central HospitalDepartment of Anesthesia, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui Municipal Central HospitalAbstract Background Perioperative anaphylaxis (POA) is a potentially life-threatening event. The incidence of POA is on the rise, but few case reports are available on cardiac arrest caused by post-anesthesia anaphylactic shock especially those successfully rescued under the guidance of ultrasonic volume assessment. Case presentation We herein report a case of cardiac arrest caused by intraoperative anaphylactic shock. A patient was admitted to the hospital due to left lumbar pain for two days and was diagnosed with left renal and ureteral calculi accompanied by hydronephrosis and infection. She was scheduled to undergo transurethral flexible ureteroscopic lithotripsy for bilateral renal and ureteral calculi under general anesthesia. Refractory hypotension occurred intraoperatively, so vasoactive drugs were applied, but the effect was unsatisfactory and cardiac arrest occurred later. At that time, the patient did not develop common allergic symptoms such as rash. After cardiopulmonary resuscitation (CPR), the patient’s heart rate recovered, but she still presented with persistent hypotension. After the anesthesiologist carried out ultrasonic volume assessment-guided fluid resuscitation, the patient experienced systemic rash, in which case severe anaphylactic shock was confirmed. After epinephrine and antianaphylactic treatment were given, the patient’s vital signs tended to become stable, and the operation was successfully completed. Conclusion With the assistance of the medical team, we successfully rescued a patient with cardiac arrest caused by intraoperative severe anaphylactic shock under the guidance of ultrasonic volume assessment. The operation was successfully completed, and the patient was discharged two days postoperatively and had a good prognosis.https://doi.org/10.1186/s12871-025-03189-6UltrasoundAnaphylactic shockCardiac arrestCefazolinCase report |
| spellingShingle | Yin-guang Yao Zhi-lan Dou Fang Zheng kai-lai Zhu Jian-Wei Zhou Jian Zhou Chuan-Guang Wang Ultrasonic volume assessment-guided successful rescue of cardiac arrest caused by intraoperative severe anaphylactic shock: a case report BMC Anesthesiology Ultrasound Anaphylactic shock Cardiac arrest Cefazolin Case report |
| title | Ultrasonic volume assessment-guided successful rescue of cardiac arrest caused by intraoperative severe anaphylactic shock: a case report |
| title_full | Ultrasonic volume assessment-guided successful rescue of cardiac arrest caused by intraoperative severe anaphylactic shock: a case report |
| title_fullStr | Ultrasonic volume assessment-guided successful rescue of cardiac arrest caused by intraoperative severe anaphylactic shock: a case report |
| title_full_unstemmed | Ultrasonic volume assessment-guided successful rescue of cardiac arrest caused by intraoperative severe anaphylactic shock: a case report |
| title_short | Ultrasonic volume assessment-guided successful rescue of cardiac arrest caused by intraoperative severe anaphylactic shock: a case report |
| title_sort | ultrasonic volume assessment guided successful rescue of cardiac arrest caused by intraoperative severe anaphylactic shock a case report |
| topic | Ultrasound Anaphylactic shock Cardiac arrest Cefazolin Case report |
| url | https://doi.org/10.1186/s12871-025-03189-6 |
| work_keys_str_mv | AT yinguangyao ultrasonicvolumeassessmentguidedsuccessfulrescueofcardiacarrestcausedbyintraoperativesevereanaphylacticshockacasereport AT zhilandou ultrasonicvolumeassessmentguidedsuccessfulrescueofcardiacarrestcausedbyintraoperativesevereanaphylacticshockacasereport AT fangzheng ultrasonicvolumeassessmentguidedsuccessfulrescueofcardiacarrestcausedbyintraoperativesevereanaphylacticshockacasereport AT kailaizhu ultrasonicvolumeassessmentguidedsuccessfulrescueofcardiacarrestcausedbyintraoperativesevereanaphylacticshockacasereport AT jianweizhou ultrasonicvolumeassessmentguidedsuccessfulrescueofcardiacarrestcausedbyintraoperativesevereanaphylacticshockacasereport AT jianzhou ultrasonicvolumeassessmentguidedsuccessfulrescueofcardiacarrestcausedbyintraoperativesevereanaphylacticshockacasereport AT chuanguangwang ultrasonicvolumeassessmentguidedsuccessfulrescueofcardiacarrestcausedbyintraoperativesevereanaphylacticshockacasereport |