Improvement of suspected rocuronium-induced anaphylaxis after sugammadex administration: A case report
نویسنده
چکیده
Although rare, anaphylactic and anaphylactoid reactions during anesthesia may result in fatal outcomes. A 26year-old male patient was scheduled to undergo septoplasty to correct a septal deviation. The patient’s preoperative medical history and laboratory findings revealed no specific abnormalities. Anesthesia was induced with propofol and rocuronium. Following the intravenous injection of additional rocuronium, hypotension, tachycardia, and pink frothy secretions within the endotracheal tube were observed. The patient’s vital signs and pulmonary edema improved after the administration of sugammadex.
منابع مشابه
Case of anaphylaxis induced by rocuronium treated with sugammadex.
BACKGROUND AND OBJECTIVES Anaphylaxis during anesthesia is a rare event that may occur in up to 1:20,000 cases and approximately 60% to 70% of these cases are secondary to the use of muscle relaxants, particularly succinylcholine and rocuronium. The aim of this report is to describe the treatment of a case of rocuronium-induced anaphylaxis with inadequate response to traditional therapy, and th...
متن کاملThree suspected cases of sugammadex-induced anaphylactic shock
BACKGROUND Sugammadex has a unique mechanism of action and is widely used because of its safety and efficacy. A few recent reports have described allergic reactions to clinical doses of sugammadex. We hereby describe another series of cases of possible anaphylaxis to sugammadex. CASE PRESENTATION We present three suspected cases of sugammadex-induced anaphylactic shock, including a 13-year-ol...
متن کاملSugammadex in the management of rocuronium-induced anaphylaxis.
Anaphylaxis during anaesthesia is a rare event that in ∼60-70% of cases is secondary to neuromuscular blocking agents. It has been suggested previously that the recent introduction of sugammadex may provide a novel therapeutic approach to the management of rocuronium-induced anaphylaxis. We describe the case of a 33-yr-old female who suffered a severe anaphylactic reaction to rocuronium, presen...
متن کاملSlow recovery after sugammadex bolus after rocuronium-induced anaphylaxis.
Editor—Some case reports have suggested the use and efficacy of sugammadex during rocuronium-induced anaphylactic shock. – 3 This was associated with rapid restoration (under 2 min) of the clinical signs of shock. We report a case who required a longer resuscitation after similar treatment. The patient gave approval to publish the case. A female patient of 65 yrage, 70 kg, 1.60 m was to undergo...
متن کاملClinically suspected anaphylaxis induced by sugammadex in a patient with Weaver syndrome undergoing restrictive mammoplasty surgery
RATIONALE Sugammadex is a cylodextrin derivate that encapsulates steroidal neuromuscular blocker agents and is reported as a safe and well-tolerated drug. In this case report, we present a patient who developed grade 3 anaphylaxis just after sugammadex administration. PATIENT CONCERNS A 22-year-old woman with diagnosis of Weaver syndrome was scheduled for bilateral mammoplasty and resection o...
متن کامل