Recently, the Emergency Department, the National Hospital of the Central Committee of 108 has just received a female patient (44 years old) to the emergency room in a state of fatigue, chest tightness, shortness of breath, the disease appears after the patient is injected with medicine.Pangolin (lidocaine) to inject nose filler at a cosmetic facility "underground".
At the Emergency Department, the Central National Hospital 108, the doctors checked the signs of survival that showed low blood pressure, the saturation of blood oxygen was not guaranteed.Immediately the patient was diagnosed with anaphylaxis III with Lidocaine and was treated simultaneously according to both anaphylaxis and poisoning with anesthetic, using adrenalin and 20% lipid emulsion and argumentsOther emergency resuscitation.
Emergency doctor for patients with anaphylaxis after anesthetic poisoning when injecting a nose filler at the cosmetic facility "underground"
After the patient temporarily stabilized, the patient was transferred to the Department of Medical Recovery and Anti -Poison, the Resuscitation Center, the 108 National Hospital for further monitoring and treatment.During the treatment, the patient progressed seriously with multiple organs damage (respiratory, heart muscle, liver, coagulation disorders), and a combination of vasomotor drugs with high doses increased, higher risk of death.The patient has been positively resuscitated, artificial ventilation, continuous blood dialysis combined with vasodilators and lipid emulsion 20%.After 3 days of treatment, the disease improved well, the patient was withdrawn the intubation, switching to oxygen from the frame;The dosage of vascular drugs decreases and has completely cut vascular drugs after 5 days.The patient was completely awake, the lesions had recovered and was discharged after 7 days of treatment.
BSCKI Nguyen Tien Son, Department of Emergency, National Hospital of Central Committee 108 said: “The above case, the patient is lucky to be emergency, timely and positive, so avoid unfortunate consequences.Therefore, when people need beauty, they should choose the reputable cosmetic facilities licensed by the Ministry of Health and have a team of experienced anesthesia doctors, and need to be self-equipped.Being given yourself the basic knowledge about the signs of anaphylaxis of anesthetic. ”
As life is increasingly improved, the beauty needs of the people also increase.To meet that demand, many spas - beauty salons were born, in parallel with high quality facilities, appraised and licensed for practice, there are still many open facilities "", The practitioner is not well -trained, even without health expertise, still blatantly performing tips to invade customers.Therefore, high -risk complications occur.The recent medical facilities have recently recorded many cases of cosmetic complications as a result of these "underground" spas, most due to the low -cost psychology, believing in the "sweet" pulling words above.The network is then "lost money".Among patients to the hospital with post -beauty complications, complications caused by filler injection accounts for relatively large quantities, Dr. Son shared.
Anaphylaxis is an allergic reaction, which can appear immediately for a few seconds, a few minutes to a few hours after the body exposed to allergens causing different clinical diseases, which can seriously lead toDeath quickly.
Some symptoms suggest anaphylaxis such as:
Urticaria, fast angioedema
Difficulty breathing, chest tightness, hissed breath
Abdominal pain or vomiting
Hypotension or fainting
Conscious disorders
Anaphylaxis during anesthesia, surgical anesthesia is often difficult to diagnose because the patient has anesthesia, sedative and skin symptoms may not appear so it does not assess subjective signs.Therefore, it is necessary to take a thorough history of allergies before conducting anesthesia, surgical anesthesia and careful evaluation of symptoms such as hypotension, reduced blood oxygen levels, fast vessels, whisting rails, variables, variablesChange on monitor.
Some anesthetic anesthesia are fat -loving active ingredients, highly active when entering the body, causing a serious poisoning condition like anaphylaxis may die for a few minutes, need to be treated with emergency with poisonous drugs.(Lipid emulsion) in combination with adrenalin because it is impossible to know the reaction mechanism is the cause of poisoning or allergies.Lipid emulsion is in addition to acting as a transportation vehicle to remove anesthetic from organs with the most sensitive high blood flow to the body poisoning (VD, heart and brain) and redistribution to muscles.The drug reserve and detoxification (VD, muscle and liver), also works to improve heart contraction, cardiac supply, blood flow and blood pressure through blood vessels and heart, activate the pathCardiovascular protection and adaptive benefits.Therefore, patients need to know the signs of early recognition of anaphylaxis with anesthetic so that when occurring, they can go to the nearest medical facilities to be emergency in time.