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Hyper IgE in a Patient with Difficult Venous Access
EP28774
Hyper IgE in a Patient with Difficult Venous Access
Submitted on 14 Jul 2018

Corinne Bicknesse, BS, Mayson Callaway, MD, Grant Lynde, MD MBS
Emory University Department of Anesthesia
This poster was presented at Georgia Society of Anesthesiologist Summer Meeting 2018
Poster Views: 376
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Poster Abstract
52 year old female with hyper-IgE syndrome (HIES), severe asthma, multiple allergies including propofol, difficult IV access, and severe anxiety presenting for large open ventral hernia repair. Peripheral IV access was unable to be obtained. An inhalational induction was performed and a central like was placed. The case proceeded uneventfully without complication. HIES is a rare primary immunodeficiency disease with skin and pulmonary complications. Surprisingly, allergic reactions are rare in these patients. We present a unique case and management strategies of a patient with a rare disease and challenging access.



1.Merli, Pietro, et al. “Hyper IgE Syndrome: Anaphylaxis in a Patient Carrying the N567DSTAT3mutation.” Pediatric Allergy and Immunology, vol. 25, no. 5, 2014, pp. 503–505., doi:10.1111/pai.12217.​


2.Farmand, Susan, and Mikael Sundin. “Hyper-IgE Syndromes.” Current Opinion in Hematology, vol. 22, no. 1, 2015, pp. 12–22., doi:10.1097/moh.0000000000000104. (10)​


3.Fields, J. Matthew, et al. “Risk Factors Associated with Difficult Venous Access in Adult ED Patients.” The American Journal of Emergency Medicine, vol. 32, no. 10, 2014, pp. 1179–1182., doi:10.1016/j.ajem.2014.07.008. ​


4.Chiricolo, Gerardo, et al. “Higher Success Rates and Satisfaction in Difficult Venous Access Patients with a Guide WireâAssociated Peripheral Venous Catheter.” The American Journal of Emergency Medicine, vol. 33, no. 12, 2015, pp. 1742–1744., doi:10.1016/j.ajem.2015.08.005. ​


5.Molina-Infante, J., et al. “Propofol Administration Is Safe in Adult Eos
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