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  • Title: Management of cold-induced urticaria during cardiac surgery.
    Author: Booth K, Parissis H.
    Journal: J Card Surg; 2011 Mar; 26(2):158-9. PubMed ID: 21208273.
    Abstract:
    General body cooling and local hypothermia during cardiopulmonary bypass in theory could precipitate a severe systemic anaphylaxis in the case of cold-induced urticaria. We present a case of cold-induced urticaria and describe how preanesthetic single-dose steroid, H(2) antagonist, and antihistamine, normothermic retrograde, and antegrade cardioplegia administration were all employed with normothermic conditions in the prevention of life-threatening anaphylaxis during coronary artery bypass grafting.
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