Rocuronium anesthesia induced anaphylactic shock:a case report
10.3969/j.issn.1671-167X.2015.05.031
- VernacularTitle:罗库溴铵致过敏性休克1例
- Author:
Min QIU
;
Yanan ZONG
;
Jian LU
;
Lulin MA
;
Qing ZHENG
;
Xiangyang GUO
- Publication Type:Journal Article
- Keywords:
Rocuronium;
Anesthesia,general;
Anaphylaxis;
Adrenal;
Adrenal gland neoplasms
- From:
Journal of Peking University(Health Sciences)
2015;(5):885-887
- CountryChina
- Language:Chinese
-
Abstract:
SUMMARY Anaphylaxis is an acute and fatal systemic allergic reaction to an allergen , and it could be an unpre-dictable and life-threatening cause during anesthesia .The main purpose of this paper is to report a case of anaphy-lactic shock during the anesthesia induction and to review the prophylaxis and treatment of anaphylactic reactions and anaphylactoid reactions during the anesthesia period .A 63-year-old man, with a mass on his adrenal , was scheduled to a laparoscopic adrenal tumor excision .During the anesthesia induction period , after administrated sul-fentanil, propofol and rocuronium , the blood pressure was decreased and the heart rate was increased .Then, the patient had rash on his whole body and developed an anaphylactic shock .After being treated with the anti-allergic agents and norepinephrine , the rash disappeared and the vital sign become stable .The patient felt nothing uncom-fortable during the two weeks ’ follow-up.Anaphylactic reactions and anaphylactoid reactions are not rare during the anesthesia period .The most common inducements are muscle relaxant , latex and antibiotics .Anaphylactic reac-tions in the perioperative period are often serious and potentially life-threatening conditions , involving multiple or-gan systems in which the clinical manifestations are the consequence of the release of preformed mediators from mast cells and basophils .Before anesthesia , we should acquire the allergic history .During the anesthesia period , the vi-tal sign and the skin should be observed carefully .
