Page 22 - ACCF Essentia | Vol. III | Issue 3 | June 2024

Successful Management of an
Successful Management of an
e
Anaphylaxis Cas
Anaphylaxis Case

Dr (Maj) Debashish D
as
Dr (Maj) Debashish Das
Consultant Intensivist
Consultant Intensivist
Barpeta Cancer Centre
Barpeta Cancer Centre
Dr (Maj) Debasish Das is a Consultant Anesthesiologist and Intensivist at Barpeta
Dr (Maj) Debasish Das is a Consultant Anesthesiologist and Intensivist at Barpeta
Cancer Center. He earned his MBBS from Trivandrum Medical College in 2006 and
Cancer Center. He earned his MBBS from Trivandrum Medical College in 2006 and
completed his junior residency in Pediatrics at Tripura Medical College, serving
completed his junior residency in Pediatrics at Tripura Medical College, serving
from 2007 to 2009. Dr Das joined the Indian Army in 2009, serving until 2014, and
from 2007 to 2009. Dr Das joined the Indian Army in 2009, serving until 2014, and
subsequently completed his MD in Anesthesia at Army Hospital R&R, New Delhi in
subsequently completed his MD in Anesthesia at Army Hospital R&R, New Delhi in
2018.
2018.
Following his MD, Dr Das pursued a senior residency at VMMC & Safdarjung
Following his MD, Dr Das pursued a senior residency at VMMC & Safdarjung
Hospital, New Delhi, from 2018 to 2019. He then worked as an anesthesiologist in the
Hospital, New Delhi, from 2018 to 2019. He then worked as an anesthesiologist in the
Neurosurgical Unit at AGMC, Agartala, where he managed over 300 neurosurgical
Neurosurgical Unit at AGMC, Agartala, where he managed over 300 neurosurgical
cases during his three-year tenure. He also served as a Consultant Anesthesiologist
cases during his three-year tenure. He also served as a Consultant Anesthesiologist
and Medical Superintendent at Woodland WK Hospital, Jowai, Meghalaya, before
and Medical Superintendent at Woodland WK Hospital, Jowai, Meghalaya, before
joining Barpeta Cancer Center.
joining Barpeta Cancer Center.
Our day care staff promptly jumped into action
nalysing the case of a 50-year-old woman
nalysing the case of a 50-year-old woman Our day care staff p rom p tly j um p ed into action
n administering anti anaphylactic and other
ed
with carcinoma breast who had develo
p
Awith carcinoma breast who had developed in administering anti anaphylactic and other
i
symptoms of altered sensorium, breathing
corrective measures. Information was
symptoms of altered sensorium, breathing corrective measures. Information was passed on
assed on
p
dif culty along with hypotension, desaturation
dif cul ty alo ng with hy po tension, desaturation to the ICU team and p atient was timely shifted

to the ICU team and patient was timely shifted
to intensive care unit for
mp
ro
p
and tach yc ardia while unde rg oi ng second cy cle to intensive care unit for prompt action and
and tachycardia while undergoing second cycle
t action and
latin
oor GCS, she was
p
of chemotherapy with Paclitaxel and Carboplatin management. Because of poor GCS, she was
of chemother
op
ment. Because of
y
with Paclitaxel and Carb
m
ge
ap
ana
on mechanical ventilator at
pt
regimen givi ng a clinical picture of ana ph yl axis. i intubated and kept on mechanical ventilator at
regimen giving a clinical picture of anaphylaxis.
ntubated and ke
g
The case of this patient has been found to be a
right time. She required USG guided invasive line
The case o f this p atient has been f ound to be a ri g t time. She re qu ired USG g uided invasive line
g
gh
CVC
p
e and
)
insertion to facilitate inotro
(
th the
p
i
henomenal case to study and
i
phenomenal case to study and inculcate with the (CVC) insertion to facilitate inotrope and uid uid
nculcate w
ni
mi
ad
stra
multiple challen g es to overcome the pro g nosis. administration. .
multiple challenges to overcome the prognosis.
ti
on
Moderate doses of Inotropes administered, and
Moderate doses of Inotropes administered, and
correction of mild metabolic acidosis was done.
correction of mild metabolic acidosis was done.
Next day she was successfully extubated after
Next day she was successfully extubated after
achieving all desired parameters.
achieving all desired parameters.
With well-coordinated and prompt approach
With well-coordinated and prompt approach
from all the teams involved be it day care
from all the teams involved be it day care
team, ICU team and other supporting staffs, the
team, ICU team and other supporting staffs, the
patient recovered quickly from a state of poor
patient recovered quickly from a state of poor
physiological and vital status.
physiological and vital status.
uided invasive line
ng
g
USG
g
oi
P
Patient undergoing USG guided invasive line
atient unde
g
rg
g
(CVC) insertion to facilitate inotrope and
(CVC) insertion to facilitate inotrope and uid uid
administration
ad mi ni st ra ti on
g
Hope is a powerful thing. It can get you
p
Hope is a powerful thing. It can get you 22
p
y
g
through the darkest of times.
through the darkest of times. 22
g
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