A Case of Intraoperative Cardiac Arrest due to Anaphylactoid Reaction: A case report.
10.4097/kjae.1997.33.3.562
- Author:
Hyeon Gil CHOI
;
Seong Doo CHO
;
Nam Weon SONG
- Publication Type:Case Report
- Keywords:
Immune response, anaphylactoid reaction, aprotinin
- MeSH:
Anaphylaxis;
Anesthesia;
Anesthetics, Local;
Anti-Bacterial Agents;
Aprotinin;
Barbiturates;
Contrast Media;
Erythema;
Follow-Up Studies;
Heart Arrest*;
Humans;
Hypersensitivity;
Hypotension;
Narcotics;
Tachycardia;
Ventricular Fibrillation
- From:Korean Journal of Anesthesiology
1997;33(3):562-566
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A number of drug administered during anesthesia can provoke pathologic response by immunologic or nonimmunologic mechanisms. Known drugs involved in hypersensitivity reactions are muscle relaxants, local anesthetics, narcotics, barbiturates, contrast media, protamine and antibiotics. Clinical manifestations of anaphylaxis are diverse, but during anesthesia, cardiovascular collapse is predominate. We experienced a case of anaphylactoid reaction with erythema on upper thoracic region, severe hypotension, tachycardia and ventricular fibrillation. After defibrillation, the patient was recovered. During follow-up, we knew that this patient was exposed aprotinin repeatedly, and suspect the possibility of anaphylactoid reaction due to aprotinin.
