Severe Anaphylaxis without Key Signs Such as Urticaria and Bronchospasm Suspected to Be Induced by Rocuronium
Soonchunhyang Medical Science
;
: 76-79, 2019.
Artículo
en Coreano
| WPRIM
| ID: wpr-761386
ABSTRACT
Perioperative hypersensitivity reaction have been reported to have a variable degree of the incidence from differ countries and to be 1/353–18,600 approximately and its mortality has been reported to be 4%–4.76% in the United States and Japan, respectively. A 65-year-old male patient with hypertension, rheumatoid arthritis, and history of amoxicillin allergy was scheduled for laparoscopic radical prostatectomy due to prostate cancer. Lidocaine, propofol, and rocuronium were administered sequentially to induce general anesthesia. Twenty minutes after the rocuronium administration, severe hypotension and tachycardia developed. But key signs of hypersensitivity such as urticaria and bronchospasm were not appeared. The operation was canceled and we evaluated the cause of severe hypotension and could confirm hypersensitivity for rocuronium with intradermal test after 4 weeks.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Artritis Reumatoide
/
Prostatectomía
/
Neoplasias de la Próstata
/
Taquicardia
/
Estados Unidos
/
Urticaria
/
Espasmo Bronquial
/
Pruebas Intradérmicas
/
Propofol
/
Incidencia
Tipo de estudio:
Estudio diagnóstico
/
Estudio de incidencia
/
Estudio pronóstico
Límite:
Anciano
/
Humanos
/
Masculino
País/Región como asunto:
America del Norte
/
Asia
Idioma:
Coreano
Revista:
Soonchunhyang Medical Science
Año:
2019
Tipo del documento:
Artículo
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