| アイテムタイプ |
itemtype_ver1(1) |
| 公開日 |
2026-02-27 |
| タイトル |
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|
タイトル |
Recurrent allergic reactions to unrecognized chlorhexidine exposure leading to pulseless electrical activity: a case report |
|
言語 |
en |
| 著者 |
Kawaguchi, Akari
Amano, Yasuhiro
Ando, Takahiro
Fujii, Tasuku
Tamura, Takahiro
|
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 権利 |
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|
権利情報Resource |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
|
権利情報 |
Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International |
|
言語 |
en |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
anaphylaxis |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
chlorhexidine |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
alcohol allergy |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
catheter insertion |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
pulseless electrical activity |
| 内容記述 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Chlorhexidine applied to the skin during catheter insertion can cause allergic reactions; however, its potential to cause perioperative anaphylaxis is often overlooked. Herein, we report a case of recurrent allergic reactions to unrecognized chlorhexidine exposure, leading to pulseless electrical activity. A 66-year-old man exhibited an allergic reaction during anesthesia induction for Y-graft replacement for an abdominal aortic aneurysm, and the planned surgery was aborted. Skin tests for anesthetics were negative. Two months later, he experienced itching after epidural catheter insertion but did not report it. During a second anesthesia induction, the patient experienced another allergic reaction of unknown etiology. Although hemodynamics stabilized after vasopressor administration, insertion of a central venous catheter 1 hour later to prevent further hypotension triggered pulseless electrical activity. Chlorhexidine was used as a skin disinfectant during catheter insertion before all four reactions and was confirmed to have caused the anaphylaxes using diagnostic tests. Chlorhexidine should be considered a potential cause of perioperative anaphylaxis. |
|
言語 |
en |
| 出版者 |
|
|
出版者 |
Nagoya University Graduate School of Medicine, School of Medicine |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| 資源タイプ |
|
|
資源タイプresource |
http://purl.org/coar/resource_type/c_6501 |
|
タイプ |
departmental bulletin paper |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| ID登録 |
|
|
ID登録 |
10.18999/nagjms.88.1.149 |
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ID登録タイプ |
JaLC |
| 関連情報 |
|
|
関連タイプ |
isVersionOf |
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|
識別子タイプ |
URI |
|
|
関連識別子 |
https://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/874.html |
| 収録物識別子 |
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|
収録物識別子タイプ |
PISSN |
|
収録物識別子 |
0027-7622 |
| 収録物識別子 |
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|
収録物識別子タイプ |
EISSN |
|
収録物識別子 |
2186-3326 |
| 書誌情報 |
en : Nagoya Journal of Medical Science
巻 88,
号 1,
p. 149-156,
発行日 2026-02
|
13_Kawaguchi.pdf (723.5 KB)
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