Consecutive anaphylaxis due to rocuronium and cisatracurium during general anesthesia: A case report
Anesthesia and Pain Medicine
;
: 384-388, 2016.
Article
in Korean
| WPRIM
| ID: wpr-177906
ABSTRACT
We experienced anaphylaxis during general anesthesia twice in the same patient. After the first incidence of anaphylaxis at the induction of anesthesia, we speculated that the allergen was rocuronium. Thus, we administered sugammadex as well as a vasopressor to treat the anaphylaxis and the vital signs gradually recovered to nearly normal. Thereafter, we could not avoid the administration of another muscle relaxant, cisatracurium, since the patient moved uncontrollably after the surgery was restarted. A second anaphylactic event then occurred. We speculated that the second allergen was cisatracurium and stopped using it. The results of the investigation after the surgery showed that the allergens were indeed rocuronium and cisatracurium. When we encounter anaphylaxis during general anesthesia, it is necessary to suspect all administered medicines as the cause, with the potential of two or more causes, especially with muscle relaxants.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Intradermal Tests
/
Allergens
/
Incidence
/
Vital Signs
/
Anaphylaxis
/
Anesthesia
/
Anesthesia, General
Type of study:
Incidence study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Anesthesia and Pain Medicine
Year:
2016
Type:
Article
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