{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:23:31Z","timestamp":1777379011477,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2006,12,1]],"date-time":"2006-12-01T00:00:00Z","timestamp":1164931200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anaesth Intensive Care"],"published-print":{"date-parts":[[2006,12]]},"abstract":"<jats:p>Profound hypotension and cardiac arrest after commencement of combined spinal and general anaesthesia in a patient for knee replacement surgery raised the suspicion of anaphylaxis. This seemed to be confirmed when a mast cell tryptase test taken about 90 minutes after the onset of the hypotension was elevated. However, subsequent intradermal skin testing twelve weeks later did not identify a causal drug. Repeat mast cell tryptase at the time showed the same elevation, which led to the correct diagnosis of mastocytosis and a secondary diagnosis that the patient's hypotension and cardiac arrest were the result of her spinal anaesthesia.<\/jats:p>\n                  <jats:p>If the serum tryptase is elevated during the event but no allergic agent can be identified, a further serum tryptase should be taken several weeks later to exclude a persistent elevation due to mastocytosis.<\/jats:p>","DOI":"10.1177\/0310057x0603400618","type":"journal-article","created":{"date-parts":[[2019,1,14]],"date-time":"2019-01-14T17:34:02Z","timestamp":1547487242000},"page":"801-803","source":"Crossref","is-referenced-by-count":20,"title":["Pseudoanaphylaxis"],"prefix":"10.1177","volume":"34","author":[{"given":"W. J.","family":"Russell","sequence":"first","affiliation":[{"name":"Departments of Anaesthesia, Royal Adelaide Hospital and Clinical Immunology and Allergy, Royal Adelaide Hospital, University of Adelaide, Adelaide, South Australia, Australia"},{"name":"Department of Anaesthesia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W. B.","family":"Smith","sequence":"additional","affiliation":[{"name":"Departments of Anaesthesia, Royal Adelaide Hospital and Clinical Immunology and Allergy, Royal Adelaide Hospital, University of Adelaide, Adelaide, South Australia, Australia"},{"name":"Department of Clinical Immunology and Allergy."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2006,12,1]]},"reference":[{"key":"bibr1-0310057X0603400618","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.med.55.091902.103822"},{"key":"bibr2-0310057X0603400618","doi-asserted-by":"publisher","DOI":"10.1016\/0952-8180(89)90005-6"},{"key":"bibr3-0310057X0603400618","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.2002.004465"},{"key":"bibr4-0310057X0603400618","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-198801000-00003"},{"key":"bibr5-0310057X0603400618","doi-asserted-by":"publisher","DOI":"10.1007\/BF03018964"},{"key":"bibr6-0310057X0603400618","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/80.1.26"},{"key":"bibr7-0310057X0603400618","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200309000-00007"},{"key":"bibr8-0310057X0603400618","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2133.2001.04123.x"},{"key":"bibr9-0310057X0603400618","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-6723.2004.00562.x"}],"container-title":["Anaesthesia and Intensive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0310057X0603400618","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0310057X0603400618","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:12:55Z","timestamp":1777367575000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0310057X0603400618"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,12]]},"references-count":9,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2006,12]]}},"alternative-id":["10.1177\/0310057X0603400618"],"URL":"https:\/\/doi.org\/10.1177\/0310057x0603400618","relation":{},"ISSN":["0310-057X","1448-0271"],"issn-type":[{"value":"0310-057X","type":"print"},{"value":"1448-0271","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,12]]}}}