« Back
Hyper IgE in a Patient with Difficult Venous Access
Poster Title: Hyper IgE in a Patient with Difficult Venous Access
Submitted on 14 Jul 2018
Author(s): Corinne Bicknesse, BS, Mayson Callaway, MD, Grant Lynde, MD MBS
Affiliations: Emory University Department of Anesthesia
This poster was presented at Georgia Society of Anesthesiologist Summer Meeting 2018
Poster Views: 566
View poster »

Poster Information
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.
Summary: Management of patient with Hyper-IgE syndrome and difficult IV accessReferences:
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
Report abuse »
Ask the author a question about this poster.
Ask a Question »

Creative Commons

Related Posters

Accelerated Ageing in Depression: A Study of Two Cohorts
Mathew A. Harris, Laura de Nooij, Xueyi Shen, Toni-Kim Clarke, Riccardo Marioni, Simon R. Cox, Emma L. Hawkins, Mark J. Adams, Liana Romaniuk, Stephen M. Lawrie, James H. Cole, Andrew M. McIntosh and Heather C. Whalley

Introducing ExHiBITT – Exploring Host microBIome inTeraction in Twins-, a colon multiomic cohort study
Marina Mora-Ortiz, Hajir Ibraheim, Ruth C. E. Bowyer, Sarah Metrustry, Nicholas Powell, Jeremy Sanderson, Tim D. Spector, Kerrin S. Small*, Claire J. Steves*

Helana Lutfi and Shaban Nuredini

Clinical pattern in electrophysiological variants of acute acquired polyneuropathies and their clinical outcome, a three years data
Naseebullah, Salman Mansoor, Azhar Saeed

Rare neurological deficit after electric shock A clinically diagnosed case report
Naseebullah, Salman Mansoor, Arsalan Ahmad, Shahid Shah