Type I Anaphylactic Reaction Due To Contrast Induced Angioedema Causing Neck Swelling: The Role Of Sitting Fiberoptic Bronchoscopy In Emergent Intubation

Ali Dabbagh; Habibollah Saadat; Mahnoosh Foroughi; Samira Rajaei; Reza Khajenouri; Farhad Solatpour; Abbas Arjmand Shabestari; Taraneh Faghihi Langroudi; Hamid Ghaderi

doi:10.22037/jcma.v1i3.12006

Journal of Cellular & Molecular Anesthesia

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https://doi.org/10.22037/jcma.v1i3.12006

Type I Anaphylactic Reaction Due To Contrast Induced Angioedema Causing Neck Swelling: The Role Of Sitting Fiberoptic Bronchoscopy In Emergent Intubation

Author(s):

Ali Dabbagh

^1,*,

Habibollah Saadat²,

Mahnoosh Foroughi²,

Samira Rajaei

³,

Reza Khajenouri⁴,

Farhad Solatpour⁴,

Abbas Arjmand Shabestari⁵,

Taraneh Faghihi Langroudi⁵,

Hamid Ghaderi²

1Professor of Cardiac Anesthesia; Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2Cardiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3Immunology Department, Tehran University of Medical Sciences, Tehran, Iran

4Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

5Radiology Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Journal of Cellular & Molecular Anesthesia:Vol. 1, issue 3; e149514

Published online:Jul 23, 2016

Article type:Brief Communications

How to Cite:Ali DabbaghHabibollah SaadatMahnoosh ForoughiSamira RajaeiReza KhajenouriFarhad SolatpourAbbas Arjmand ShabestariTaraneh Faghihi LangroudiHamid Ghaderiet al.Type I Anaphylactic Reaction Due To Contrast Induced Angioedema Causing Neck Swelling: The Role Of Sitting Fiberoptic Bronchoscopy In Emergent Intubation.J Cell Mol Anesth.1(3):e149514.https://doi.org/10.22037/jcma.v1i3.12006.

Abstract

Contrast induced angioedema is a rapidly progressive state involving a number of organ systems including the upper airway tract; which is usually a type I anaphylactic reaction also known as immediate hypersensitivity reaction. Prompt preservation of the respiratory tract is the cornerstone of this situation. The use of fiberoptic bronchoscope for tracheal intubation though very helpful, has some special considerations due to the anatomic distortions created by edema.This manuscript describes a patient with contrast induced angioedema managed successfully. Serum levels of IgE were highly increased during the first hours after the event; while serum levels of complement were normal. However, rapid airway management and prophylactic intubation saved the patient and prevented the possible aftermath of airway obstruction.Keywords: airway management; type I anaphylactic reaction, angioedema; fiberoptic bronchoscope.Conflict of interest: none of the authors has any conflict of interest.

Keywords

airway management

type I anaphylactic reaction

angioedema

fiberoptic bronchoscope

References

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References are in the PDF file of the article.

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Author(s):

Ali Dabbagh:[PubMed][Scholar]
Habibollah Saadat:[PubMed][Scholar]
Mahnoosh Foroughi:[PubMed][Scholar]
Samira Rajaei:[PubMed][Scholar]
Reza Khajenouri:[PubMed][Scholar]
Farhad Solatpour:[PubMed][Scholar]
Abbas Arjmand Shabestari:[PubMed][Scholar]
Taraneh Faghihi Langroudi:[PubMed][Scholar]
Hamid Ghaderi:[PubMed][Scholar]