Year 2019 / Volume 26 / Number 4

Cilinical Note

Anesthetic management of hysterectomy and double adnexectomy for borderline left ovarian tumor in a patient with multiple chemical sensitivity syndrome

Rev. Soc. Esp. Dolor. 2019; 26(4): 243-246 / DOI: 10.20986/resed.2019.3705/2018

Beatriz Esnaola Iriarte, Sofía Irigoyen Miró, Fernando Torre Mollinedo


ABSTRACT

The multiple chemical sensitivity syndrome (MCS), also known as idiopathic environmental intolerance (IAI), among others, is a complex and poorly defi ned disorder that produces various symptoms in response to various stimuli. There is a lack of valid studies that establish the pathogenesis of this syndrome. The anesthetic management of these patients is a challenge for anesthesiologists, due to the fact that there are no established guidelines. We present a case of successful surgery in a patient that suffers from MCS by performing a conventional TIVA enhanced with a thorough premedication and the latex allergy protocol.



RESUMEN

El síndrome de sensibilidad química múltiple (SQM), también conocido como intolerancia ambiental idiopática (IAI), entre otros, es un desorden complejo y mal definido que produce diversos síntomas en respuesta a diferentes estímulos. No hay estudios válidos que establezcan la patogénesis de este síndrome. El manejo anestésico de estos pacientes es un reto para los anestesiólogos, dado que no hay unas pautas de actuación establecidas. Se presenta un caso de cirugía exitosa en una paciente afecta de SQM realizándose una anestesia total intravenosa (TIVA) convencional a la que se añadió una premedicación exhaustiva y la aplicación del protocolo de alergia al látex.


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Esnaola Iriarte B, Irigoyen Miró S, Torre Mollinedo F. Anesthetic management of hysterectomy and double adnexectomy for borderline left ovarian tumor in a patient with multiple chemical sensitivity syndrome . Rev Soc Esp Dolor 2019; 26(4): 243-246 / DOI: 1020986/resed20193705/2018


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Publication history

Received: 17/08/2018

Accepted: 30/04/2019

Online First: 26/06/2019

Published: 31/07/2019

Article revision time: 209 days

Article Online First time: 313 days

Article editing time: 348 days


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