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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest therapy for allergy & asthma

I am 59, and recently had surgery to remove a very large lipoma from my back. The surgery was done in an operating room due to the large size of the lipoma. I have a severe allergy to latex - type 1 IgE mediated with anaphylaxis, and strict latex precautions were in place. I also have severe asthma secondary to the latex allergy.

I was intebated. When I was extabated, I had trouble breathing. The Anesth gave me an updraft of epinepherine, and I turned blue, and my O2 sat dropped to 70%. The epi was stoped and I recovered, but had severe chest pain. I was admitted and had the chest pain again the following morning. Evidently I showed an atypical rise in my Troponin T levels, with a negative CKMB. I also had some EKG changes. I was transferred to the large medical center, and was evaluated quite extensively - all was negative (stress echo, nuclear stress, )no angiogram was done. I was on a nitro drip and also on heparin IV.

Nothing showed except this elevated troponin t level, and they discharged me without a real diagnosis after 24 hours.

What do you think happened to me?

Could I be allergic to epinepherine?

I also showed some fluid around the heart - ? why?

Wed, 4 Feb 2015
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General & Family Physician 's  Response
Large liopma usually operated in general anesthesia and use of epinephrine or adrenaline is common nowadays, as it causes vasoconstriction which has advantages during g surgery,your chest tightness or breathing difficulty may be bcuz of this, tropoini T level is elevated in coronary artery disease but u had negative cpkmb,ECG was wnl,normal echo and TMT,so no need to get worry about heart problem.Fulid collection can be the side effect of adrenaline, will subside after few days but u can Consult cardiac physician further.
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