Abstract | BACKGROUND:
Latex intraoperative allergy is more and more frequent, especially in at groups risk (patients with spina bifida or congenital genitourinary abnormalities, pluri-operated patients, atopic subjects) and in pediatric age. The main problem of this allergy consists in the necessity of a strict collaboration of many specialists, in order to identify and safeguard the patient. METHODS: Our experience has pointed out an interdisciplinary perioperative management able to: 1. identify patients affected by latex allergy; 2. submit them to a latex-safe perioperative proceeding; 3. check their conditions with periodical tests. Selecting patients through a history and a list of questions, identifying profiles of typical risk patients, organizing the operating room with latex-free materials and equipment were the most important issues. Since November 1997 to December 1999 eighteen latex-safe perioperative proceedings have been carried out on 8 subjects (2 with esophageal atresia, 4 with bladder exstrophy and 2 with cloacal exstrophy); 2 of them were emergency cases. RESULTS: No allergic reactions and no proceeding-linked complications have been registered. Operators have always been satisfied by materials and equipment. Anesthesiological and surgical times resulted equal to those without latex-safe management. CONCLUSIONS: This perioperative management of potential or verified latex allergic patients turned out to be valid, safe and easy in practical application.
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Authors | A Gentili, G Ricci, F Di Lorenzo, A Pigna, C Tonini, S Baroncini |
Journal | Minerva anestesiologica
(Minerva Anestesiol)
2001 Jan-Feb
Vol. 67
Issue 1-2
Pg. 29-40
ISSN: 0375-9393 [Print] Italy |
Vernacular Title | Allergia al lattice in età pediatrica. |
PMID | 11279375
(Publication Type: Clinical Trial, English Abstract, Journal Article)
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Topics |
- Adolescent
- Child
- Female
- Humans
- Intraoperative Complications
(therapy)
- Latex Hypersensitivity
(therapy)
- Male
- Risk Assessment
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