Suspected anaphylactic reaction associated with sugammadex: a case report

We describe a case of a 35-year-old male patient who was scheduled for laparoscopic cholecystectomy and developed a life-threatening anaphylactic reaction 2 min after the administration of sugammadex. He manifested erythematous wheals on the entire body, dyspnea, hypotension, and tachycardia. These...

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Main Authors: Jae Hwa Yoo, Soon Im Kim, Si Young Ok, Sun Young Park, Ana Cho, Yoo Mi Han, Mi Roung Jun
Format: Article
Language:English
Published: Korean Society of Anesthesiologists 2016-08-01
Series:Korean Journal of Anesthesiology
Subjects:
Online Access:http://ekja.org/upload/pdf/kjae-69-413.pdf
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author Jae Hwa Yoo
Soon Im Kim
Si Young Ok
Sun Young Park
Ana Cho
Yoo Mi Han
Mi Roung Jun
author_facet Jae Hwa Yoo
Soon Im Kim
Si Young Ok
Sun Young Park
Ana Cho
Yoo Mi Han
Mi Roung Jun
author_sort Jae Hwa Yoo
collection DOAJ
description We describe a case of a 35-year-old male patient who was scheduled for laparoscopic cholecystectomy and developed a life-threatening anaphylactic reaction 2 min after the administration of sugammadex. He manifested erythematous wheals on the entire body, dyspnea, hypotension, and tachycardia. These symptoms disappeared after the administration of epinephrine. The patient recovered and was discharged at postoperative day 5 without any complications. After 7 weeks, we performed a skin prick test, and there was a weakly positive reaction for sugammadex. This case is suspected anaphylaxis associated with sugammadex, and we need to be aware that the use of sugammadex is associated with a serious risk of anaphylaxis.
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spelling doaj.art-aa3e4c2264d044b9a98c0118b320667b2022-12-22T00:24:13ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632016-08-0169441341610.4097/kjae.2016.69.4.4138211Suspected anaphylactic reaction associated with sugammadex: a case reportJae Hwa Yoo0Soon Im Kim1Si Young Ok2Sun Young Park3Ana Cho4Yoo Mi Han5Mi Roung Jun6Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.We describe a case of a 35-year-old male patient who was scheduled for laparoscopic cholecystectomy and developed a life-threatening anaphylactic reaction 2 min after the administration of sugammadex. He manifested erythematous wheals on the entire body, dyspnea, hypotension, and tachycardia. These symptoms disappeared after the administration of epinephrine. The patient recovered and was discharged at postoperative day 5 without any complications. After 7 weeks, we performed a skin prick test, and there was a weakly positive reaction for sugammadex. This case is suspected anaphylaxis associated with sugammadex, and we need to be aware that the use of sugammadex is associated with a serious risk of anaphylaxis.http://ekja.org/upload/pdf/kjae-69-413.pdfanaphylaxissugammadex
spellingShingle Jae Hwa Yoo
Soon Im Kim
Si Young Ok
Sun Young Park
Ana Cho
Yoo Mi Han
Mi Roung Jun
Suspected anaphylactic reaction associated with sugammadex: a case report
Korean Journal of Anesthesiology
anaphylaxis
sugammadex
title Suspected anaphylactic reaction associated with sugammadex: a case report
title_full Suspected anaphylactic reaction associated with sugammadex: a case report
title_fullStr Suspected anaphylactic reaction associated with sugammadex: a case report
title_full_unstemmed Suspected anaphylactic reaction associated with sugammadex: a case report
title_short Suspected anaphylactic reaction associated with sugammadex: a case report
title_sort suspected anaphylactic reaction associated with sugammadex a case report
topic anaphylaxis
sugammadex
url http://ekja.org/upload/pdf/kjae-69-413.pdf
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