Thursday, January 16, 2014

penicillin anaphylaxis--true story of a ressusitated case

ONE YEAR OLD  MALE CHILD BROUGHT IN AS A DEAD BODY AS THERE WAS NO HEART SOUNDS OR RESPIRATION.SAID TO HAVE DEVELOPED SUDDEN UNCONCIOUSNESS AFTER INJECTION PENICILLIN FOR RESPIRATORY INFECTION.THE DOCTOR LADY,PLASTIC SURGEON WHO BROUGHT THE CASE FLEW AWAY BEFORE I FINISHED EXAMINATION.CHILD WAS FROM TI CYCLES INDIA ARAKONAM(1977)

I SWUNG INTO ACTION.CARDIO PULMONARY RESSUSITATION STARTED LIKE A HIGH SPEED ENGINE,INJ.INTRACARDIAC ADRENALINE GIVEN FIRST.EXTERNAL CARDIAC MASSAGE GIVEN BY NURSE I INTRODUCED THE ENDOTRACHEAL TUBE &STARTED BLOWING AIR WITHOUT AMBU BAG.HIS HEART STARTED BEATING &LUGS SHOWED INSPIRATION/EXPIRATION WITH MININIMAL WEEZE(MAY BE DUE TO E-T TUBE)   TO MAINTAIN I.V.LINE SAPHENOUS VENESECTION DONE .1)ISOLYTE P DRIP WITH INJ DERIPHYLINE,&DECADRON PLUS ANTIBIOTIC GIVEN ORALLY(TETRACYCLINE).CHILD STAYED IN THE HOS PITAL FOR ONE DAY OBSERVATION&DISCHARGED IN FIT CONDITION AFTER TWO TRIAL ORAL FEEDS.NO NEWS HEARD FROM THE TI CYCLES DOCTOR! GOD IS GREAT,I HAVE NOT HEARD OF ANY PATIENT SURVIVING AFTER CARDIO-PULMONARY RESSUSITATION.

No comments: