{"id":4773,"date":"2020-07-10T10:00:45","date_gmt":"2020-07-10T10:00:45","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/reacoes-alergicas-em-endoscopia\/"},"modified":"2022-06-17T13:47:27","modified_gmt":"2022-06-17T13:47:27","slug":"reacoes-alergicas-em-endoscopia","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/reacoes-alergicas-em-endoscopia\/","title":{"rendered":"Rea\u00e7\u00f5es Al\u00e9rgicas em Endoscopia"},"content":{"rendered":"<blockquote><p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/alergia.png\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter size-full wp-image-11179\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/alergia.png\" alt=\"\" width=\"903\" height=\"219\"><\/a><\/p><\/blockquote>\n<p>&nbsp;<\/p>\n<p>A seda\u00e7\u00e3o \u00e9 um procedimento extremamente comum e necess\u00e1rio para realiza\u00e7\u00e3o dos procedimentos endosc\u00f3picos. Por\u00e9m, sempre que administramos uma medica\u00e7\u00e3o ao paciente h\u00e1 o risco de uma complica\u00e7\u00e3o cr\u00edtica: a <strong>anafilaxia<\/strong>.<\/p>\n<p>Trata-se de uma rea\u00e7\u00e3o al\u00e9rgica que ocorre minutos ou at\u00e9 horas ap\u00f3s a aplica\u00e7\u00e3o de medicamentos . Caso se agrave, pode levar a complica\u00e7\u00f5es e at\u00e9 ser fatal.<\/p>\n<p>A incid\u00eancia varia bastante de 1\/500 at\u00e9 1\/5000 dependendo das drogas utilizadas.&nbsp; Casos graves de anafilaxia podem ter taxas de mortalidade de at\u00e9 6%.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>Agravantes durante a Seda\u00e7\u00e3o em <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/\">Endoscopia<\/a>:<\/strong><\/h5>\n<ul>\n<li>V\u00e1rios f\u00e1rmacos sendo administrados ao mesmo tempo.<\/li>\n<li>Desvio de aten\u00e7\u00e3o para outras a\u00e7\u00f5es.<\/li>\n<li>Cobertura do corpo do paciente<\/li>\n<li>Patologias associadas.<\/li>\n<\/ul>\n<h5><\/h5>\n<h5><strong>Fatores favorecedores: Histaminase e IgE<\/strong><\/h5>\n<ul>\n<li>Idade: 30 e 50 anos.<\/li>\n<li>Sexo feminino &nbsp;&#8211; Bloqueador neuromuscular (alvejantes e cosm\u00e9ticos )<\/li>\n<li>Ansiedade<\/li>\n<li>Atopia ( asma infantil e rinite )<\/li>\n<li>Alergia alimentar e medicamentosa.<\/li>\n<li>Anestesias gerais repetidas.<\/li>\n<li>\u2018\u2019Extrofia de bexiga e espinha b\u00edfida \u2018\u2019<\/li>\n<li>Beta-bloqueadores e&nbsp; bloqueadores h2<\/li>\n<li>Tabaco ( hiper-reatividade br\u00f4nquica)<\/li>\n<li>Gravidez (Placenta \u00e9 rica em &nbsp;histaminases e IgE n\u00e3o atravessa placenta( feto sofre consequ\u00eancias das desordens&nbsp;hemodin\u00e2micas&nbsp;e hip\u00f3xicas materna ) **Obs: IgG passa a placenta (rea\u00e7\u00f5es as dextranas)<\/li>\n<li>Prolapso de valva mitral \u2013 arritmias<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h5 style=\"text-align: center;\"><strong>MECANISMOS<\/strong><\/h5>\n<p><strong>Origem imunol\u00f3gica&nbsp;<\/strong>:<\/p>\n<ul>\n<li>IgE (anafil\u00e1ticas )<\/li>\n<li>IgG e IgM&nbsp; &#8211; ativando a via cl\u00e1ssica do complemento ( anafilact\u00f3ides )<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Origem n\u00e3o imunol\u00f3gica:<\/strong><\/p>\n<ul>\n<li>Ativa\u00e7\u00e3o da via alternativa do complemento<\/li>\n<li>Histaminolibera\u00e7\u00e3o direta<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>**Obs: N\u00e3o distingu\u00edveis pelo quadro cl\u00ednico<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h5 style=\"text-align: center;\"><strong>QUADRO CL\u00cdNICO<\/strong><\/h5>\n<p>In\u00edcio em segundos ou at\u00e9 30 minutos ou mais em contato por outras vias (l\u00e1tex 40 a 120 minutos )<\/p>\n<p>&nbsp;<\/p>\n<p><strong><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/manifestaC3A7C3B5es-clC3ADnicas.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" class=\"aligncenter size-full wp-image-11167\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/manifestaC3A7C3B5es-clC3ADnicas.png\" alt=\"\" width=\"570\" height=\"963\"><\/a><\/strong><\/p>\n<p>**<strong>Obs<\/strong>: edema vis\u00edvel ( &gt; 1mm) -generalizado em mucosas; subcut\u00e2neo e mucosas indica&nbsp;&nbsp;perda de 1,5L pro extravascular e pode levar \u00e0 queda brusca de press\u00e3o arterial&nbsp;<strong>(choque)<\/strong><\/p>\n<p><strong>&nbsp;<\/strong><\/p>\n<p><strong>Subst\u00e2ncia Relativamente Seguras:<\/strong><\/p>\n<ul>\n<li>Etomidato, midalozam e cetamina<\/li>\n<li>Opi\u00f3ides, exceto morfina e meperidina<\/li>\n<li>Anest\u00e9sicos locais amida \u2013 incid\u00eancia rara ( conservantes ou antioxidantes geralmente)<\/li>\n<li>Neurol\u00e9pticos: inibem h-N-metil-transferase<\/li>\n<li>O propofol normalmente n\u00e3o causa libera\u00e7\u00e3o histam\u00ednica, mas rea\u00e7\u00f5es anafilact\u00f3ides foram relatadas em pacientes com m\u00faltiplas alergias medicamentosas.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Antibi\u00f3ticos<\/strong>&nbsp;:<\/p>\n<ul>\n<li>Penicilinas: Rea\u00e7\u00f5es anafil\u00e1ticas \u2013 0,4 a 1,5: 10.000 exposi\u00e7\u00f5es; Mortalidade \u2013 0,4 a 1,5:1.1000.000;<\/li>\n<li>Cefalosporinas : rea\u00e7\u00e3o cruzada a penicilina em 20%<\/li>\n<li>Sulfonamidas : rea\u00e7\u00f5es anafil\u00e1tivas graves<\/li>\n<li>Vancomicina: Depress\u00e3o mioc\u00e1rica direta e tamb\u00e9m pode haver histaminolibera\u00e7\u00e3o<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Contrastes Radiol\u00f3gicos<\/strong>&nbsp;:<\/p>\n<ul>\n<li>Incid\u00eancia 5 a 8% quando administrados por via endovenosa.<\/li>\n<li>Baixa incid\u00eancia quando utilizados na via biliar.<\/li>\n<li>Mortalidade: 2 a 6: 10.000<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Alergia \u00e0 Derivados de l\u00e1tex<\/strong>&nbsp;:<\/p>\n<ul>\n<li>Incid\u00eancia: 2,9 a 17%<\/li>\n<li>Mediada por IgE \u2013 anafil\u00e1ticas<\/li>\n<li>Contato: cut\u00e2neo, mucoso ou inalat\u00f3rio<\/li>\n<li>Cl\u00ednica:&nbsp; Altera\u00e7\u00e3o hemodin\u00e2mica e ou respirat\u00f3ria sem explica\u00e7\u00e3o<\/li>\n<li>Fatores de risco: Profissionais da sa\u00fade, pessoas com m\u00faltiplas sondagens ou cirurgias repetidas.<\/li>\n<li>69% s\u00e3o at\u00f3picos e rea\u00e7\u00e3o cruzada a frutas<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h5 style=\"text-align: center;\"><strong>TRATAMENTO<\/strong><\/h5>\n<p><strong>Profilaxia<\/strong>&nbsp;:<\/p>\n<ul>\n<li>Paciente sem tratamento&nbsp;:&nbsp; Difenidramina 50mg \u2013 1h + Prednisona 50mg &nbsp;8\/8h<\/li>\n<li>Com tratamento&nbsp;: acr\u00e9scimo de efedrina 25mg VO 1h antes ou cimetidina 300mg VO 1h antes<\/li>\n<\/ul>\n<p>Anti-H1:&nbsp;&nbsp;Desloca a curva dose-resposta \u00e0 histamina ( Difenidramina 50mg- 16\/24h antes do procedimento )<\/p>\n<p>Cortic\u00f3ides devem ser iniciados pelo menos 24h antes do procedimento<\/p>\n<p><strong>Tratamento Prim\u00e1rio<\/strong>&nbsp;:<\/p>\n<ul>\n<li>Suspens\u00e3o imediata &nbsp;da administra\u00e7\u00e3o dos f\u00e1rmacos<\/li>\n<li>Permeabilidade das vias a\u00e9reas : Fornecer 02 a 100%<\/li>\n<li>Expans\u00e3o Vol\u00eamica: 1 a 4L de cristal\u00f3ides ( 10\/15 min)<\/li>\n<li>Posicionamento: C\u00e9falo- declive ( trendelemburg)+ MMii elevados<\/li>\n<li>Adrenalina : 0,2 a 0,5mg EV + bolus de 0,1 a 0,2 at\u00e9 &nbsp;obten\u00e7\u00e3o do efeito desejado<\/li>\n<li>Salbutamol( spray)<\/li>\n<li>Aminofilina: 5mg\/kg<\/li>\n<li>Lidoca\u00edna com adrenalina \u2013 na sonda de intuba\u00e7\u00e3o<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Tratamento secund\u00e1rio<\/strong>&nbsp;:<\/p>\n<ul>\n<li>Cortic\u00f3ides: 500mg a 1g de metilprednisolona ou 500mg a 1g de hidrocortisona<\/li>\n<li>Bicarbonato de s\u00f3dio: Apenas em colapso persistente ou acidose metab\u00f3lica<\/li>\n<li>Dopamina, Noradrenalina, dobutamina, isoproterelol ( conforme indica\u00e7\u00e3o )<\/li>\n<li>Controle: Durante 12h pelo menos<\/li>\n<\/ul>\n<p>Reconhecer a ocorr\u00eancia de uma rea\u00e7\u00e3o anafil\u00e1tica em um paciente sedado \u00e9 tarefa muitas vezes caracterizada como dif\u00edcil e a sua suspeita sempre deve ser acompanhada de tratamento agressivo. Reposi\u00e7\u00e3o vol\u00eamica vigorosa associada ao uso de epinefrina s\u00e3o os pilares do tratamento e essas medidas n\u00e3o devem ser postergadas. Apesar de raras, essas rea\u00e7\u00f5es apresentam um alto \u00edndice de complica\u00e7\u00f5es. Assim, m\u00e9dicos endoscopistas devem estar preparados para instituir as condutas&nbsp; iniciais e estabilizar o paciente at\u00e9 a chegada de ajuda no caso de anafilaxia.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><em><strong>Acesse o&nbsp;<a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/quiz\/quiz-reacoes-alergicas\/\">QUIZ<\/a>! sobre rea\u00e7\u00f5es al\u00e9rgicas! <\/strong><\/em><\/p>\n<p><em><strong>N\u00e3o deixe de testar&nbsp;os conhecimentos aprendidos&nbsp;nesse post!<\/strong><\/em><\/p>\n<h5><\/h5>\n<h5><strong>Refer\u00eancias<\/strong><\/h5>\n<p>GarrisonJC-Histamina,Bradicinina,5-Hidroxitriptaminae Seus Antagonistas, em: Goodman LS, Gilman A- As Bases Farmacol\u00f3gicas da Terap\u00eautica. Rio de Janeiro, Guanabara Koogan,1990; 378-394. Pereira AMSA \u2013 Rea\u00e7\u00f5es Anafil\u00e1ticas e Anafilact\u00f3ides, em: Gozzani JL e Rebuglio R -SAESP Curso de Atualiza\u00e7\u00e3o e Reciclagem.S\u00e3oPaulo,Atheneu,1991; 368-376<\/p>\n<p>Bauman LA, Arnold WP- Health and Safety for Anesthesia Personnel, em: Morell RC, Eichhorn JH &#8211; Patient Safety in Anesthetic Practice. New York, Churchill Livingstone, 1997;475-477 Berry AJ, Katz JD- Hazards of Working in the Operating Room, em: Barash PG, Cullen BF, Stoelting RK &#8211; Clinical Anesthesia, 3rd Ed, Philadelphia, Lippincott-Raven, 1997;73<\/p>\n<p>Cangiani LM, Slullitel A, Pot\u00e9rio GMB et al. Tratado de Anestesiologia SAESP. 7a Ed, 2011.<\/p>\n<p>Barash PG, Cullen BF, Stoelting RK, et al. Clinical Anesthesia. 7th Ed, 2013.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; A seda\u00e7\u00e3o \u00e9 um procedimento extremamente comum e necess\u00e1rio para realiza\u00e7\u00e3o dos procedimentos&hellip;<\/p>\n","protected":false},"author":3515,"featured_media":5366,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[],"ano":[146],"tipo":[159],"volume":[147],"class_list":["post-4773","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","ano-146","tipo-outros","volume-volume-ii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Rea\u00e7\u00f5es Al\u00e9rgicas em Endoscopia &#8226; Endoscopia Terapeutica<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/reacoes-alergicas-em-endoscopia\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Rea\u00e7\u00f5es Al\u00e9rgicas em Endoscopia\" \/>\n<meta property=\"og:description\" content=\"&nbsp; A seda\u00e7\u00e3o \u00e9 um procedimento extremamente comum e necess\u00e1rio para realiza\u00e7\u00e3o dos procedimentos endosc\u00f3picos. 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