Anaphylaxis with angioedema by rocuronium during induction of general anesthesia -A case report-
Perioperative anaphylaxis is characterized by severe respiratory and cardiovascular manifestations. Correct management of anaphylaxis during anaesthesia requires a multidisciplinary approach with prompt recognition and treatment of the acute event by the attending anesthesiologist. A 34-year-old wom...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2010-04-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-58-391.pdf |
| _version_ | 1819230171587149824 |
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| author | Won Ju Jeong Woon Young Kim Joo Hyung Son Yoon-Sook Lee Jae Hwan Kim Young Cheol Park |
| author_facet | Won Ju Jeong Woon Young Kim Joo Hyung Son Yoon-Sook Lee Jae Hwan Kim Young Cheol Park |
| author_sort | Won Ju Jeong |
| collection | DOAJ |
| description | Perioperative anaphylaxis is characterized by severe respiratory and cardiovascular manifestations. Correct management of anaphylaxis during anaesthesia requires a multidisciplinary approach with prompt recognition and treatment of the acute event by the attending anesthesiologist. A 34-year-old woman was scheduled to undergo endo venous laser therapy of varicose veins. She had no history of allergies and had never undergone general anesthesia. General anesthesia was induced with propofol and rocuronium bromide. Approximately three minutes after rocuronium administration, hypotension and tachycardia developed and angioedema around the eyelids and skin rashes and urticaria appeared. The patient received ephedrine and hydrocortisone with hydration. After achieving stable vital signs and symptom relief, surgery was performed without complications. A postoperative skin dermal test performed to identify the agent responsible revealed a positive skin test for rocuronium. |
| first_indexed | 2024-12-23T11:24:50Z |
| format | Article |
| id | doaj.art-7bf1d42e0d084466982af7432c4a9e43 |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-23T11:24:50Z |
| publishDate | 2010-04-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-7bf1d42e0d084466982af7432c4a9e432022-12-21T17:48:59ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632010-04-0158439139510.4097/kjae.2010.58.4.3916888Anaphylaxis with angioedema by rocuronium during induction of general anesthesia -A case report-Won Ju Jeong0Woon Young Kim1Joo Hyung Son2Yoon-Sook Lee3Jae Hwan Kim4Young Cheol Park5Department of Anesthesiology and Pain Medicine, Korea University College of Medicine, Ansan Hospital, Ansan, Korea.Department of Anesthesiology and Pain Medicine, Korea University College of Medicine, Ansan Hospital, Ansan, Korea.Department of Anesthesiology and Pain Medicine, Korea University College of Medicine, Ansan Hospital, Ansan, Korea.Department of Anesthesiology and Pain Medicine, Korea University College of Medicine, Ansan Hospital, Ansan, Korea.Department of Anesthesiology and Pain Medicine, Korea University College of Medicine, Ansan Hospital, Ansan, Korea.Department of Anesthesiology and Pain Medicine, Korea University College of Medicine, Ansan Hospital, Ansan, Korea.Perioperative anaphylaxis is characterized by severe respiratory and cardiovascular manifestations. Correct management of anaphylaxis during anaesthesia requires a multidisciplinary approach with prompt recognition and treatment of the acute event by the attending anesthesiologist. A 34-year-old woman was scheduled to undergo endo venous laser therapy of varicose veins. She had no history of allergies and had never undergone general anesthesia. General anesthesia was induced with propofol and rocuronium bromide. Approximately three minutes after rocuronium administration, hypotension and tachycardia developed and angioedema around the eyelids and skin rashes and urticaria appeared. The patient received ephedrine and hydrocortisone with hydration. After achieving stable vital signs and symptom relief, surgery was performed without complications. A postoperative skin dermal test performed to identify the agent responsible revealed a positive skin test for rocuronium.http://ekja.org/upload/pdf/kjae-58-391.pdfanaphylaxisangioedemaintradermal skin testrocuronium |
| spellingShingle | Won Ju Jeong Woon Young Kim Joo Hyung Son Yoon-Sook Lee Jae Hwan Kim Young Cheol Park Anaphylaxis with angioedema by rocuronium during induction of general anesthesia -A case report- Korean Journal of Anesthesiology anaphylaxis angioedema intradermal skin test rocuronium |
| title | Anaphylaxis with angioedema by rocuronium during induction of general anesthesia -A case report- |
| title_full | Anaphylaxis with angioedema by rocuronium during induction of general anesthesia -A case report- |
| title_fullStr | Anaphylaxis with angioedema by rocuronium during induction of general anesthesia -A case report- |
| title_full_unstemmed | Anaphylaxis with angioedema by rocuronium during induction of general anesthesia -A case report- |
| title_short | Anaphylaxis with angioedema by rocuronium during induction of general anesthesia -A case report- |
| title_sort | anaphylaxis with angioedema by rocuronium during induction of general anesthesia a case report |
| topic | anaphylaxis angioedema intradermal skin test rocuronium |
| url | http://ekja.org/upload/pdf/kjae-58-391.pdf |
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