Xiang BB, Yao YT, Jiao SL. Successful prolonged cardiopulmonary resuscitation after intraoperative cardiac arrest due to povidone-iodine allergy: A case report. World J Clin Cases 2021; 9(33): 10362-10368 [PMID: 34904111 DOI: 10.12998/wjcc.v9.i33.10362]
Corresponding Author of This Article
Yu-Ting Yao, MM, Doctor, Department of Anesthesiology, The Second Affiliated Hospital of Chongqing Medical University, No. 74 Linjiang Road, Yuzhong District, Chongqing 400000, China. 704410578@qq.com
Research Domain of This Article
Anesthesiology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Nov 26, 2021; 9(33): 10362-10368 Published online Nov 26, 2021. doi: 10.12998/wjcc.v9.i33.10362
Successful prolonged cardiopulmonary resuscitation after intraoperative cardiac arrest due to povidone-iodine allergy: A case report
Bing-Bing Xiang, Yu-Ting Yao, Shu-Lan Jiao
Bing-Bing Xiang, Department of Anesthesiology, Chengdu Fifth People's Hospital, Chengdu 611130, Sichuan Province, China
Yu-Ting Yao, Department of Anesthesiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400000, China
Shu-Lan Jiao, Department of Anesthesiology, The Second Affiliated Hospital of Kunming Medical University, Kunming 650101, Yunnan Province, China
Author contributions: All of the authors contributed to the conception and writing of the article, and all approved the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient’s guardian for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yu-Ting Yao, MM, Doctor, Department of Anesthesiology, The Second Affiliated Hospital of Chongqing Medical University, No. 74 Linjiang Road, Yuzhong District, Chongqing 400000, China. 704410578@qq.com
Received: July 9, 2021 Peer-review started: July 9, 2021 First decision: August 18, 2021 Revised: August 29, 2021 Accepted: September 19, 2021 Article in press: September 19, 2021 Published online: November 26, 2021
Abstract
BACKGROUND
Iodophor (povidone-iodine) is widely used clinically because of its broad-spectrum antibacterial effects. Although extremely rare, it may cause anaphylactic shock, which itself carries the life-threatening risk of cardiac arrest.
CASE SUMMARY
We present a case in which a patient with postoperative infection went into anaphylactic shock and cardiac arrest caused by povidone-iodine during secondary surgery. The patient was successfully resuscitated by 2 h of cardiopulmonary resuscitation.
CONCLUSION
This is the first known case of cardiac arrest caused by povidone-iodine allergy.
Core Tip: We report a rare case of cardiac arrest caused by povidone-iodine allergy, representing a life-threatening complication never reported before. The patient was successfully resuscitated by 2 h of cardiopulmonary resuscitation, which suggests that a favorable outcome of prolonged cardiopulmonary resuscitation is possible.
