A Case of Tracheal Carcinoma Diagnosed by Rigid Bronchoscopy in Lidocaine Anaphylaxis Patient.
10.4046/trd.2009.67.2.140
- Author:
Byeong Kab YOON
1
;
Hee Jung BAN
;
Yong Soo KWON
;
In Jae OH
;
Kyu Sik KIM
;
Yu Il KIM
;
Sung Chul LIM
;
Young Chul KIM
;
Sang Yoon SONG
Author Information
1. Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. cyberkks@chonnam.ac.kr
- Publication Type:Case Report
- Keywords:
Lidocaine anaphylaxis;
Rigid bronchoscopy;
Flexible bronchoscopy
- MeSH:
Aged;
Anaphylaxis;
Anesthesia;
Anesthesia, General;
Bronchoscopy;
Carcinoma, Squamous Cell;
Constriction, Pathologic;
Emergencies;
Female;
Humans;
Hypotension;
Lidocaine;
Nasal Mucosa
- From:Tuberculosis and Respiratory Diseases
2009;67(2):140-144
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The majority of flexible bronchoscopies are performed under topical anesthesia with lidocaine being the most commonly used agent. Anaphylaxis rarely occurs after local administration of lidocaine, but can be a fatal complication. We experienced a case of unexpected anaphylaxis. A 66-year-old woman was scheduled for flexible bronchoscopy to evaluate a tracheal mass and stenosis. The oral and nasal mucosa were pretreated with lidocaine. About 2~3 minutes later, the patient developed hypotension and we treated for anaphylaxis in the emergency room. Then, we decided to perform rigid bronchoscopy in this patient, under conditions of general anesthesia. A rigid bronchoscopy was performed in this patient, safely and successfully. The tracheal mass was determined to be squamous cell carcinoma.
