Anaphylactic reaction following reversal of nondepolarizing muscle relaxant during general anesthesia: a case report

Eunkyung Choi,1 Saeyoung Kim21Department of Anesthesiology and Pain Medicine, College of Medicine, Yeungnam University, Daegu, Republic of Korea; 2Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea Abstract: An anaphylactic rea...

Full description

Bibliographic Details
Main Authors: Choi E, Kim S
Format: Article
Language:English
Published: Dove Medical Press 2017-08-01
Series:International Medical Case Reports Journal
Subjects:
Online Access:https://www.dovepress.com/anaphylactic-reaction-following-reversal-of-nondepolarizing-muscle-rel-peer-reviewed-article-IMCRJ
Description
Summary:Eunkyung Choi,1 Saeyoung Kim21Department of Anesthesiology and Pain Medicine, College of Medicine, Yeungnam University, Daegu, Republic of Korea; 2Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea Abstract: An anaphylactic reaction during general anesthesia may cause fatal complications. Perioperative anaphylaxis can occur in response to different medications. To our knowledge, pyridostigmine or combination of pyridostigmine with glycopyrrolate-induced anaphylactic reaction during general anesthesia has not been reported. We report a case of a suspected anaphylactic reaction to these drugs. To reduce the risk of complicated perioperative anaphylactic events, prompt assessment and treatment are needed. Moreover, any undesirable exposure to confirmed allergens should be avoided as part of secondary prevention. Keywords: anaphylaxis, emergency treatment, glycopyrrolate, pyridostigmine bromide
ISSN:1179-142X