Suspected Anaphylactic Reaction Prior to Induction of Anesthesia

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Suspected Anaphylactic Reaction Prior to Induction of Anesthesia

Although uncommon, anaphylactic reactions during surgery are very dangerous and can result in serious morbidity. Various anesthetics can trigger anaphylactic reactions, and incidents with cephalosporin antibiotics are on the rise. In the case presented, an 84-year-old woman scheduled for calcaneus fracture surgery, was injected with cefbuperazone as a prophylactic antibiotic. On the way to the ...

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Suspected Anaphylactic Reaction Associated with Microemulsion Propofol during Anesthesia Induction

Although rare, intraoperative anaphylaxis can lead to significant morbidity and mortality. Aquafol® (Daewon Pharmaceutical Co. Ltd., Seoul, Korea), a microemulsion propofol, was developed to eliminate lipid solvent-related adverse events, and was used in clinical anesthesia since 2009 with little data about severe side effects such as anaphylaxis. A healthy 16-yr-old male patient who had past m...

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The Author Response: Suspected Anaphylactic Reaction Associated with Microemulsion Propofol during Anesthesia Induction

To the Editor: We prepared a case report entitled ‘Suspected Anaphylactic Reaction Associated with a Microemulsion of Propofol during Anesthesia Induction’ (1). However, one reviewer commented that we should have considered midazolam (2), remifentanil (3), rocuronium (4), ephedrine (5), dexamethasone (6), epinephrine (7), poloxamer 188 (8), and polyethylene glycol (9) in addition to a microemul...

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Suspected anaphylactic reaction to Cremophor EL.

There have been several reports of anaphylactoid reactions to the intravenous anaesthetic drugs Althesin (alphaxalone and alphadolone) and propanidid (Epontol).' The culprit in some of these reactions may have been Cremophor EL, a surfactant common to both drug formulations. Cremophor EL is produced by the epoxylation of castor oil and is actually a complex mixture of compounds. We report a cas...

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Anaphylactic reaction to chymopapain injection: A review and anesthesia considerations

The Food and Drug Administration (FDA) recently has re-released chymopapain, an injectable proteolytic enzyme used as an alternative to lumbar laminectomy in selected patients. The reported success rate, over 800%, has inspired an increasing usage of chymopapain. However, there is a reported 1 % incidence of anaphylaxis upon injection of this drug. The authors describe the means of early recogn...

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ژورنال

عنوان ژورنال: Journal of Lifestyle Medicine

سال: 2015

ISSN: 2234-8549,2288-1557

DOI: 10.15280/jlm.2015.5.1.26