Welcome to Francis Academic Press

International Journal of Frontiers in Medicine, 2023, 5(8); doi: 10.25236/IJFM.2023.050803.

Nursing care of patients with anaphylactic shock complicated with ventricular fibrillation induced by flurbiprofen during perioperative period

Author(s)

Wei Yao, Li Shengnan, Liang Yu

Corresponding Author:
Liang Yu
Affiliation(s)

Department of Anesthesiology, The General Hospital of Western Theater Command, Chengdu, Sichuan, 610083, China

Abstract

Based on the case of anaphylactic shock after application of flurbiprofen exfoliate in a 60-year-old patient undergoing lumbar internal fixation, the literature was analyzed and summarized to discuss the pharmacological characteristics of flurbiprofen exfoliate, the clinical manifestations of anaphylactic shock and the emergency treatment measures. It’s critical to be alert to the occurrence of allergic reactions during the perioperative period after use of flurbiprofen. For patients under general anesthesia with most of their skin covered under sterile drapes, close attention should be paid to changes in circulatory function and respiratory parameters.

Keywords

Flurbiprofen; Anaphylactic shock; Adverse drug reactions; Case analysis; Nursing care

Cite This Paper

Wei Yao, Li Shengnan, Liang Yu. Nursing care of patients with anaphylactic shock complicated with ventricular fibrillation induced by flurbiprofen during perioperative period. International Journal of Frontiers in Medicine (2023), Vol. 5, Issue 8: 29-33. https://doi.org/10.25236/IJFM.2023.050803.

References

[1] Wang Yinghu. Progress in pharmacology and clinical application of flurbiprofen ester [J]. Tianjin Pharmacy, 2018, 30(02):58-60+71. 

[2] Chen H G. Research progress on pharmacological action and clinical application of flurbiprofen ester injection [J]. World Latest Medical Information Abstracts, 2015, 15(62):24+23

[3] Mota I, Gaspar Â, Benito-Garcia F, et al. Drug-induced anaphylaxis: seven-year single-center survey [J]. Eur Ann Allergy Clin Immunol, 2018, 50(5):211-216. 

[4] Huang L, Wei L, Li H M, et al. Literature analysis of 58 cases of adverse reactions to flurbiprofen [J]. Chinese Pharmacovigilance, 2022, 19(04):436-440. 

[5] Wu Xiaomin, Li Ying, Yang Lijiao. Analysis of 7 cases of anaphylaxis induced by flurbiprofen ester in anesthesia patients [J]. Chinese Pharmacists, 2011, 14(10):1510-1511. 

[6] Cardona V, Ansotegui IJ, Ebisawa M, et al. World allergy organization anaphylaxis guidance 2020 [J]. World Allergy Organ J, 2020, 13(10):100472. 

[7] Yang Meng, Liu Wencao. Progress in the treatment mechanism of capillary leakage in anaphylactic shock [J]. Chinese Journal of Emergency Medicine, 2022, 42(03):273-276. 

[8] Chen F. Severe anaphylactic shock induced by rapid intravenous drip of vancomycin during perioperative period: a case report [J]. Chinese Contemporary Medicine, 2021, 28(19):144-147. 

[9] Liu Chen, Chu Yanqi, Yan Suying, et al. Analysis on the characteristics and treatment process of severe adverse drug reactions of anaphylactic shock [J]. Chinese Journal of Drug Application and Surveillance, 2019, 18(04):245-247. 

[10] Mertes PM, Malinovsky JM, Jouffroy L, et al. Reducing the risk of anaphylaxis during anesthesia: 2011 updated guidelines for clinical practice [J]. J Investig Allergol Clin Immunol, 2011, 21(6):442-53. 

[11] Li Guiling, He Yuxia. Discussion on the clinical manifestations and treatment of anaphylactic shock [J]. Journal of Contemporary Medicine, 2014, 12(11):255-256. 

[12] Huang Jianwei, Xu Xiaoming. Research progress of diagnostic methods for anaphylactic shock[J]. Journal of Practical Clinical Medicine, 2016, 17(05):101-104. 

[13] Zou Chuanwei. Identification and management of anaphylactic shock and acute left heart failure (report of 2 cases) [J]. Zhongyuan Medical Journal, 1996(08):26-27. 

[14] Lou Bincheng. Emergency treatment of anaphylactic shock [J]. Medical Review, 2011, 30(01):1-4. 

[15] Cao Kejiang, Chen Keping, Chen Minglong, et al. 2020 Chinese Expert Consensus on ventricular arrhythmia (2016 Consensus upgraded version) [J]. Chinese Journal of Cardiac Pacing and Electrophysiology, 2019, 34(03):189-253. 

[16] Zhu Yongbing, Ci Shuping. Analysis of 86 cases of anaphylactic arrhythmia [J]. Journal of Practical Electrocardiology, 2010, 19(06):456-457. 

[17] Hu Liguo, Chai Xiaoqing, Mei Bin, et al. Multi-center retrospective analysis of severe anaphylaxis during perianesthesia[J]. Journal of Clinical Anesthesiology, 2017, 33(01):74-76. 

[18] Ring J, Grosber M, Möhrenschlager M, et al. Anaphylaxis: acute treatment and management [J]. Chem Immunol Allergy, 2010, 95:201-210. 

[19] Tang Chunyan, Wang Xiaohai, Chen Jie, et al. Research progress of perioperative anaphylactic shock therapy[J]. Medical Review, 2021, 40(11):1506-1510. 

[20] Jiang Nannan, Xiang Li. AAAAI/ACAAI: Update of practice parameters for severe Allergic reactions in 2020 [J]. Chinese Journal of Clinical Immunology and Allergy, 2019, 14(03):279-281. 

[21] Hepner DL, Castells M, Mouton-Faivre C, et al. Anaphylaxis in the cliical setting of obstetric anesthesia: a literature review [J]. Anesth Analg, 2013, 117(6):1357-67. 

[22] Dewachter P, Mouton-Faivre C, Hepner DL. Perioperative anaphylaxis: what should be known? [J]. Curr Allergy Asthma Rep, 2015, 15(5):21.