Intraoperative Cardiovascular Collapse Secondary to Latex Allergy

Lower-urinary-tract reconstruction using stomach tissue in children and young adults

“…Following preoperative coverage with steroids and antihistamines, they underwent successful reoperation, during which the use of latex products was avoided [18]. All three of these patients had a history of latex allergy that was not identified preoperatively.…”

Allergic Reactions in the Perioperative Period in Children

“…The remaining publications are reports from international societies concerning adult patients [10][11][12].…”

“…Skin lesions (localized or generalized erythema, hives with or without angioedema) were expressed alongside signs in other systems [17][18][19]21 The reactions attributable to latex were published among the most severe, grade III or IV, including cardiovascular events (low blood pressure, hemodynamic shock associated with tachycardia and bradycardia, and even cardiac arrest). These cardiovascular signs were mostly associated to respiratory symptoms (wheezing, bronchospasms) and sometimes to mucocutaneous signs [12,28,29,[31][32][33][34][35][36][37][39][40][41]74,75].…”

“…(Table 2) [17,18,20,23,24]. Also, when the reactions were related to latex, most reports were carried out using an adequate allergological evaluation [12,28,29,[32][33][34]36,37,[39][40][41]74].…”

“…Among the reported cases on anaphylaxis, the time is the key, administration should be investigated, whether intravenous or topical, the time of onset of symptoms (with an average of 3 minutes from administration to the appearance of clinical signs) [17][18][19][20]22,23,26,73]. A lack of mucocutaneous signs in five severe reactions was observed [12,14,16,20,36]. In the French Society's study, bradycardia in 14% of the cases was also reported, but it wasn't specified whether it was related to circulatory collapse and/or secondary hypoxia [69].…”