Anaphylaxis during general anesthesia: A case report and literature review

Authors

  • Krittiyaporn Singkam Department of Pediatrics, Faculty of Medicine, Chiang Mai University
  • Mongkol Lao-araya Department of Pediatrics, Faculty of Medicine, Chiang Mai University

Keywords:

anaphylaxis, neuromuscular blocking agent, drug allergy, anesthesia, adverse drug reaction

Abstract

An anaphylaxis during general anesthesia does not occur very frequent, but associates
with significant mortality. The causes of anaphylaxis can be complex because of the
large number of medications administered in the same time. All patients with history of
perioperative anaphylaxis should have an extensively appropriate evaluation. The allergist is responsible for identifying the cause and other agents likely to be safe for future
use. Here, we reported a patient with severe allergic reactions twice due to neuromuscular blocking agents; atracurium and cisatracurium, which were confirmed by allergy skin
test. Furthermore, we reviewed the literatures concerning the diagnosis and prevention
of patients with anaphylaxis in the perioperative setting.

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Published

2018-04-01

How to Cite

1.
Singkam K, Lao-araya M. Anaphylaxis during general anesthesia: A case report and literature review. BSCM [Internet]. 2018 Apr. 1 [cited 2024 Mar. 29];57(2):109-19. Available from: https://he01.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/114149

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Section

Original Article