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Behandling af anafylaksi hos gravide
Engelsk titel: Treatment of anaphylactic schock in pregnant women Läs online Författare: Straarup, Therese Simonsen ; Bang, Ulla Språk: Dan Antal referenser: 30 Dokumenttyp: Översikt UI-nummer: 17090191

Tidskrift

Ugeskrift for Laeger 2017;179(14)1242-6 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

This is an update on the treatment of anaphylactic shock in pregnant women. Most guidelines recommend adrenaline as first-line treatment in all patients, but in pregnant patients some recommend ephedrine due to a potential risk of utero-placental hypoperfusion with adrenaline. However, ephedrine is a less potent vasopressor than adrenaline and does not possess the same anti-inflammatory or broncho­dilating effects. As immediate and correct treatment is essential for both the maternal and the fetal outcome, adrenaline should be first-line treatment also in pregnant women.