Acute Respiratory Distress Syndrome Following Anaphylactic Shock—“A Deadly Duel”—Case Report and Literature Review  

作　　者：Ungamandadige P. M. Fernando Malmee P. Dharmawardhane Nishanthan Subramaniam Srisothinathan Nimalan Kukulagoda U. I. S. Gunathilake Baththirange M. Munasinghe Ungamandadige P. M. Fernando;Malmee P. Dharmawardhane;Nishanthan Subramaniam;Srisothinathan Nimalan;Kukulagoda U. I. S. Gunathilake;Baththirange M. Munasinghe(National Blood Transfusion Service, District General Hospital, Mannar, Sri Lanka;Anaesthesiology and Intensive Care, District General Hospital, Mannar, Sri Lanka;Clinical Medicine, Post Graduate Institute of Medicine, University of Colombo, Colombo, Sri Lanka;District General Hospital, Mannar, Sri Lanka)

机构地区：[1]National Blood Transfusion Service, District General Hospital, Mannar, Sri Lanka [2]Anaesthesiology and Intensive Care, District General Hospital, Mannar, Sri Lanka [3]Clinical Medicine, Post Graduate Institute of Medicine, University of Colombo, Colombo, Sri Lanka [4]District General Hospital, Mannar, Sri Lanka

出　　处：《Open Journal of Anesthesiology》2021年第2期33-38,共6页麻醉学期刊（英文）

摘　　要：A 58-year-old Asian female developed acute respiratory distress syndrome (ARDS) following anaphylactic shock. Several similar cases have been reported in the literature, attributed to the pathophysiological mechanisms of anaphylaxis or interestingly, the treatment itself;adrenaline, majority of the latter being related to administration of supra-therapeutic doses. According to our clinical experience, the possibility of ARDS should be considered in <span>patients who develop unexplainable hypoxaemia following anaphylactic</span><span> shock. </span><span>This case report discusses the pathophysiology of ARDS both in anaphylaxis and following epinephrine treatment and key aspects of management of ARDS with </span><span>a </span><span>main focus on the role of high flow oxygen, diuretics and anxiolytics. </span><span>T</span><span>he </span><span>importance of avoiding drug administration errors is also highlighted.</span>A 58-year-old Asian female developed acute respiratory distress syndrome (ARDS) following anaphylactic shock. Several similar cases have been reported in the literature, attributed to the pathophysiological mechanisms of anaphylaxis or interestingly, the treatment itself;adrenaline, majority of the latter being related to administration of supra-therapeutic doses. According to our clinical experience, the possibility of ARDS should be considered in <span>patients who develop unexplainable hypoxaemia following anaphylactic</span><span> shock. </span><span>This case report discusses the pathophysiology of ARDS both in anaphylaxis and following epinephrine treatment and key aspects of management of ARDS with </span><span>a </span><span>main focus on the role of high flow oxygen, diuretics and anxiolytics. </span><span>T</span><span>he </span><span>importance of avoiding drug administration errors is also highlighted.</span>

关 键 词：Acute Respiratory Distress Syndrome (ARDS) ANAPHYLAXIS Epinephrine/Adrenaline Pulmonary Edema 

分 类 号：R56[医药卫生—呼吸系统]