Severe Oropharyngeal Angioedema Caused by Propofol: A case report.
10.4097/kjae.2006.50.6.S68
- Author:
Chul Ho SHIN
1
;
Young Hee LEE
;
Young Min KIM
;
Se Hun PARK
;
Iel Yong SUNG
;
Seong Won CHOI
;
Soon Eun PARK
Author Information
1. Department of Anesthesiology and Pain Medicine, Ulsan University School of Medicine, Ulsan, Korea. gamju@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
airway;
anaphylactic reaction;
oropharyngeal edema;
propofol
- MeSH:
Anaphylaxis;
Angioedema*;
Asthma;
Edema;
Histamine Release;
Humans;
Hypersensitivity;
Propofol*;
Sesamum;
Trachea
- From:Korean Journal of Anesthesiology
2006;50(6):S68-S70
- CountryRepublic of Korea
- Language:English
-
Abstract:
Although propofol is thought to be a relatively safe intravenous anesthetic with regard to histamine release reactions, anaphylactoid reactions to propofol may sometimes occur, especially in patients with a history of allergy, atopy, or asthma. Here we report a patient with allergies to sesame leaves and cold medications who experienced an anaphylactic reaction with severe oropharyngeal edema a few minutes after receiving propofol (Anepol(R)). This finding suggests that propofol should be used with caution in patients with a history of allergy. Because profound airway edema can occur, the airway should be evaluated before extubation of the trachea.
