Anaphylaxis induced by sugammadex and sugammadex-rocuronium complex -a case report.
Korean J Anesthesiol
; 73(4): 342-346, 2020 08.
Article
em En
| MEDLINE
| ID: mdl-31619026
ABSTRACT
BACKGROUND:
In sugammadex-induced anaphylaxis, sugammadex and/or sugammadex-rocuronium complex have possible allergenic epitope. CASE We report a case of sugammadex-induced anaphylaxis during general anesthesia in a 60-year-old male undergoing orthopedic hand surgery, manifesting as profound hypotension and urticaria. The timing of onset was closely associated with sugammadex administration. The patient recovered after extensive therapy including fluid, epinephrine, other vasopressors, steroid, and antihistamine administration. By intradermal skin test which was done at four weeks after anaphylaxis, we confirmed positive reactions to both sugammadex and sugammadex-rocuronium complex.CONCLUSIONS:
This is a rare case of sugammadex-induced anaphylaxis that both sugammadex and sugammadex-rocuronium complex were confirmed as allergenic epitopes.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Fármacos Neuromusculares não Despolarizantes
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Sugammadex
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Rocurônio
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Anafilaxia
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Complicações Intraoperatórias
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
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Male
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Middle aged
Idioma:
En
Revista:
Korean J Anesthesiol
Ano de publicação:
2020
Tipo de documento:
Article