Failure to investigate anaesthetic anaphylaxis resulting in a preventable second anaphylactic reaction.
Anaesth Intensive Care
; 40(6): 1053-5, 2012 Nov.
Article
em En
| MEDLINE
| ID: mdl-23194216
ABSTRACT
We present a case of anaphylaxis to suxamethonium and/or vecuronium in a patient who had previously suffered an anaphylactic reaction, presumably to rocuronium. The patient had not been referred for formal allergy testing after the first anaphylactic reaction. Subsequent formal allergy testing revealed sensitivities to suxamethonium, rocuronium and vecuronium. Her next anaesthetic, using cisatracurium, was uneventful. It is recommended that all patients with suspected perioperative anaphylaxis are referred for testing. This is the responsibility of the anaesthetist. Particular caution should be used with suspected neuromuscular blocking drug allergy as cross-reactivity is common and not predictable by drug structure.
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Base de dados:
MEDLINE
Assunto principal:
Succinilcolina
/
Brometo de Vecurônio
/
Anafilaxia
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article