AUTHOR=Agbenyefia Priscilla , Shilliam Lance A. , Stoicea Nicoleta , Roth Andrew , Moran Kenneth R. 

TITLE=Perioperative Management of a Patient with Cold Urticaria

JOURNAL=Frontiers in Medicine

VOLUME=4

YEAR=2017

URL=https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2017.00222

DOI=10.3389/fmed.2017.00222

ISSN=2296-858X

ABSTRACT=<p>Cold urticaria consists of an allergic immune response to cold temperatures with symptoms ranging from pruritic wheals to life-threatening angioedema, bronchospasm, or anaphylactic shock. Adequate planning to maintain normothermia perioperatively is vital due to impaired hypothalamic thermoregulation and overall depression of sympathetic outflow during deep sedation and general anesthesia. This case report describes the successful perioperative management of a 45-year-old female with a history of cold urticaria undergoing a laparoscopic Nissen fundoplication for refractory gastroesophageal reflux disease and discusses how to appropriately optimize the care of these patients.</p>