Life‐threatening anaphylactic reaction after the administration of airway topical lidocaine

• Published in: Pediatric pulmonology Vol. 46; no. 5; pp. 505 - 508
• Main Authors: Soong, Wen‐Jue, Lee, Yu‐Sheng, Soong, Yen‐Hui, Tsao, Pei‐Chen, Yang, Chia‐Feng, Jeng, Mei‐Ji, Peng, Yu‐Yun
• Format: Journal Article
• Language: English
• Published: Hoboken Wiley Subscription Services, Inc., A Wiley Company 01.05.2011; Wiley-Liss
• Subjects: Administration, Topical; anaphylaxis; Anaphylaxis - etiology; Anesthetics, Local - administration & dosage; Anesthetics, Local - adverse effects; Biological and medical sciences; Bronchoscopy; Child; Dyspnea - etiology; General aspects; Humans; Lidocaine - administration & dosage; Lidocaine - adverse effects; Male; Medical sciences; Pneumology; Shock - etiology; topical lidocaine; Bronchoscopy; Immunopathology; Allergy; Pediatrics; Local administration; topical lidocaine; Anaphylaxis; Endoscopy; Lidocaine; Reaction; Pneumology; anaphylaxis; bronchoscopy
• ISSN: 8755-6863; 1099-0496
• DOI: 10.1002/ppul.21399

A 9‐year‐old boy who developed a life‐threatening anaphylaxis reaction of the airway and subsequent dyspnea and circulation collapse because of instilled the topical lidocaine into the airway within 2 min before performing flexible bronchoscopy (FB). FB revealed swollen airway mucosa and extensive foamy secretion that severely compromised the ventilation lumen. Rapid detection with FB and immediate resuscitation, including prompt administration of epinephrine, volume expander, and positive pressure ventilation with pure oxygen via an endotracheal tube, were successfully save the patient's life. Pediatr. Pulmonol. 2011; 46:505–508. © 2010 Wiley‐Liss, Inc.