Alergia ao látex

Abstract

The early diagnosis of latex allergy is critically important. Dealing with these patients in latex-free environments prevents sensitization and, very often, the evolution to dramatic situations.

Anestesia para ventriculostomia por via endoscópica para tratamento de hidrocefalia: relato de casos

“…ou com anatomia alterada. No presente estudo foi usada a monitorização com pressão arterial invasiva somente em casos específicos, por exemplo, em um paciente com meningomielocele e risco de apresentar alergia ao látex [19][20][21] , anatomia alterada em uma criança com cisto aracnóide e outra com síndrome de Dandy Walker, e na criança com cardiopatia congênita. As disritmias cardíacas mencionadas neste estudo não tiveram repercussão hemodinâmica, porém deve-se salientar que pequenas variações de curta duração da pressão arterial podem ter passado despercebidas.…”

“…With increased experience and knowledge of the possible complications, the anesthetic conduct has changed toward more invasive monitoring, similar to any neurosurgical procedure in adults and in children 6,9,15 , especially in more complex neuroendoscopic procedures (tumor biopsy, cyst fenestration, etc) or when there is a change in the anatomy. In this study, invasive blood pressure monitoring was used only in specific cases, such as in one patient with meningomyelocele and risk for developing latex allergy [19][20][21] , change in the anatomy of a child with arachnoid cyst and in another with Dandy Walker syndrome, and in the child with congenital cardiopathy. The cardiac arrhythmias mentioned in this study did not cause hemodynamic changes; however, it should be mentioned that small, transient changes in blood pressure might have go unnoticed.…”

“…Neuroanesthesia conduct and technique used in children are different from those used in adults. Despite knowing the negative effects of high concentrations of volatile anesthetics under pressure on brain perfusion, several authors agree that inhalational induction should be used in children without venous access or when the use of pre-anesthetic me- dication is contra-indicated 5, [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] . There is also no consensus on the most suitable maintenance technique.…”

Reação anafilática induzida por látex em paciente submetido à apendicectomia aberta: relato de caso

“…Natural latex is composed of cytoplasm of lactiferous cells, particles of natural rubber (cis-isoprene), and subcellular organelles that contain basic proteins; hevein, the name given to a group of latex proteins, is considered the main allergen in latex reactions, and it is present in large amounts in rubber, leading to sensitization of exposed individuals and a spectrum of allergic reactions after subsequent exposures [3][4][5][6] .…”

“…Allergic reaction usually occurs by direct contact of latexcontaining products, but it can also be developed by inhalation of latex particles, especially in environments with frequent use of surgical gloves, which causes a high concentration of aerosolized latex particles of cornstarch covering the inner surface of gloves as dry lubricant 1,3 .…”