Management of Severe Allergic Reaction During Cardiopulmonary Bypass in a Child Undergoing Arial Septal Defect Repair
摘要
A 2-year-old girl suddenly experienced difficulty in maintaining the safe level of blood in the reservoir, accompanied by a drop in blood pressure during the post-parallel circulation of cardiopulmonary bypass (CBP). After ruling out other potential causes, a severe allergic reaction was highly suspected, which was alleviated after the administration of a large volume of fluids, epinephrine, and methylprednisolone. For this particular type of allergic reaction, it is essential to administer standard treatment based on the pathophysiology of allergic reactions, while the unique situation of CBP should also be considered.