Severe Anaphylaxis without Key Signs Such as Urticaria and Bronchospasm Suspected to Be Induced by Rocuronium
Soonchunhyang Medical Science
;
: 76-79, 2019.
Artigo
em 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:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Artrite Reumatoide
/
Prostatectomia
/
Neoplasias da Próstata
/
Taquicardia
/
Estados Unidos
/
Urticária
/
Espasmo Brônquico
/
Testes Intradérmicos
/
Propofol
/
Incidência
Tipo de estudo:
Estudo diagnóstico
/
Estudo de incidência
/
Estudo prognóstico
Limite:
Idoso
/
Humanos
/
Masculino
País/Região como assunto:
América do Norte
/
Ásia
Idioma:
Coreano
Revista:
Soonchunhyang Medical Science
Ano de publicação:
2019
Tipo de documento:
Artigo
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