Spotlight: Perioperative Anaphylaxis After Insertion of a Latex Drain

Spotlight: Perioperative Anaphylaxis After Insertion of a Latex Drain

A 65-year-old female with a documented allergy to latex underwent surgery for right-sided Zenker’s diverticulum. Near the conclusion of surgery, a latex Penrose drain was placed in the neck surgical incision. The patient developed generalized urticaria, bronchospasm requiring high airway pressures to achieve adequate ventilation, and hypotension within 5 minutes of placement of the drain. The drain was removed and replaced with a silicone drain. Epinephrine and vasopressors were administered post-operatively and the patient’s symptoms resolved. The commentary discusses risk factors and consequences of latex allergy in hospital and operating room settings, common latex products that trigger allergic reactions and hospital safety practices that can limit the risk of latex exposure.

  • Provider:University of California, Davis, Health System
  • Activity Link: https://psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy
  • Start Date: 2022-08-24 05:00:00
  • End Date: 2022-08-24 05:00:00
  • Credit Details: AMA PRA Category 1 Credit™️: 1.0 hours
  • MOC Credit Details: ABIM - 1.0 Point; Credit Type(s): Medical Knowledge (ABIM)
    ABIM - 1.0 Point; Credit Type(s): Patient Safety (ABIM)
  • Commercial Support: No
  • Activity Type: Enduring Material
  • CME Finder Type: Online Learning
  • Fee to Participate: No, it's free
  • Measured Outcome: Learner Competence, Learner Knowledge, Patient Health
  • Provider Ship: Jointly Provided
  • Registration: Open to all
  • Specialty: Internal Medicine
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