Latex Anaphylaxis During Spinal Surgery in Children with Myelomeningocele
- 1 June 1993
- journal article
- case report
- Published by Wiley in Developmental Medicine and Child Neurology
- Vol. 35 (6) , 543-548
- https://doi.org/10.1111/j.1469-8749.1993.tb11686.x
Abstract
Intra-operative anaphylaxis to latex involves cutaneous, respiratory and circulatory changes which may prove fatal if not promptly recognized and treated. It is estimated that 18 to 40 per cent of children with spina bifida may be affected by latex allergy. Current tests available lack sufficient sensitivity and specificity to be recommended as routine screening measures, therefore any allergic history in children with myelomeningocele should alert the clinician to the possibility that severe anaphylactic reactions may occur, especially when large mucosal and pleural-peritoneal surfaces are exposed, as noted in the four reported cases. Epinephrine is the drug of choice should a Type 1 reaction occur.Keywords
This publication has 12 references indexed in Scilit:
- AnaphylaxisNew England Journal of Medicine, 1991
- Intraoperative anaphylaxis: An association with latex sensitivityJournal of Allergy and Clinical Immunology, 1991
- Allergic Shock to Latex and Ethylene Oxide During Surgery for Spina BifidaAnesthesiology, 1990
- Combined Anterior and Posterior Fusion for Spinal Deformity in MyelomeningoceleSpine, 1990
- Severe Intraoperative Anaphylaxis to Surgical GlovesAnesthesiology, 1989
- Rubber AnaphylaxisNew England Journal of Medicine, 1989
- Anaphylaxis and Angioedema Due to Rubber Allergy in ChildrenActa Paediatrica, 1988
- Anaphylactoid reactions to vancomycin during anaesthesia: two clinical reportsCanadian Journal of Anesthesia/Journal canadien d'anesthésie, 1985
- Surgical treatment of paralytic scoliosis associated with myelomeningocele.Journal of Bone and Joint Surgery, 1982
- Contact urticaria to rubberBritish Journal of Dermatology, 1979