Anaphylaxis after Injection of Rocuronium: A case report / 대한마취과학회지

ABSTRACT

Anaphylaxis is one of major causes of morbidity and mortality during anesthesia. Even when treated appropriately, these reactions are usually unpredictable and potentially life-threatening. A 26-year-old male patient, who had previously undergone surgery under general and spinal anesthesia twice without any problems, was scheduled for a reconstruction of the anterior cruciate ligament. Lidocaine, thiopental sodium and rocuronium were injected sequentially to induce general anesthesia. Two minutes after the rocuronium injection, severe hypotension, tachycardia and bronchospasm developed, and delayed skin rashes appeared. These unexpected events resulted in the operation being aborted. The patient recovered without any significant complications under immediate proper intensive care.