Perioperative Management of a Patient with Cold Urticaria

Priscilla Agbenyefia; Lance A. Shilliam; Nicoleta Stoicea; Andrew Roth; Kenneth R. Moran

doi:10.3389/fmed.2017.00222

Frontiers in Medicine (Dec 2017)

Perioperative Management of a Patient with Cold Urticaria

Priscilla Agbenyefia,
Lance A. Shilliam,
Nicoleta Stoicea,
Andrew Roth,
Kenneth R. Moran

Affiliations

Priscilla Agbenyefia: Department of Anesthesiology, OSU Wexner Medical Center, Columbus, OH, United States
Lance A. Shilliam: Department of Anesthesiology, Akron General Medical Center, Akron, OH, United States
Nicoleta Stoicea: Department of Anesthesiology, OSU Wexner Medical Center, Columbus, OH, United States
Andrew Roth: Department of Anesthesiology, OSU Wexner Medical Center, Columbus, OH, United States
Kenneth R. Moran: Department of Anesthesiology, OSU Wexner Medical Center, Columbus, OH, United States

DOI: https://doi.org/10.3389/fmed.2017.00222
Journal volume & issue: Vol. 4

Abstract

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Cold urticaria consists of an allergic immune response to cold temperatures with symptoms ranging from pruritic wheals to life-threatening angioedema, bronchospasm, or anaphylactic shock. Adequate planning to maintain normothermia perioperatively is vital due to impaired hypothalamic thermoregulation and overall depression of sympathetic outflow during deep sedation and general anesthesia. This case report describes the successful perioperative management of a 45-year-old female with a history of cold urticaria undergoing a laparoscopic Nissen fundoplication for refractory gastroesophageal reflux disease and discusses how to appropriately optimize the care of these patients.

Published in Frontiers in Medicine

ISSN: 2296-858X (Online)
Publisher: Frontiers Media S.A.
Country of publisher: Switzerland
LCC subjects: Medicine: Medicine (General)
Website: http://www.frontiersin.org/journals/medicine

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