Rocuronium bromide induced anaphylaxis in a child -A case report-
نویسندگان
چکیده
Anaphylaxis or anaphylactoid reaction in pediatric patient during anesthesia is rare. We report a rocuronium induced anaphylactic reaction in a 33-month-old female. The patient was scheduled to undergo escharectomy due to injuries suffered from a major burn. Shortly after administration of rocuronium, the patient developed severe hypotension, tachycardia, and hypoxia. A similar reaction occurred after administration of rocuronium on subsequent anesthesia. She underwent uneventful anesthesia with volatile induction and maintenance of anesthesia with sevoflurane on her next 7 operations without using of muscle relaxant.
منابع مشابه
Anaphylaxis with angioedema by rocuronium during induction of general anesthesia -A case report-
Perioperative anaphylaxis is characterized by severe respiratory and cardiovascular manifestations. Correct management of anaphylaxis during anaesthesia requires a multidisciplinary approach with prompt recognition and treatment of the acute event by the attending anesthesiologist. A 34-year-old woman was scheduled to undergo endo venous laser therapy of varicose veins. She had no history of al...
متن کاملCase 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 کاملAbsence of elevated serum tryptase in rocuronium-induced anaphylaxis during discectomy under general anesthesia: A case report
A 43-year-old female patient, who had previously undergone surgery under general anesthesia without any problems, was scheduled for discectomy. Propofol and rocuronium were injected sequentially to induce general anesthesia. Twenty minutes after the rocuronium injection, severe hypotension, tachycardia and bronchospasm developed, and delayed skin rashes appeared. The operation was cancelled. No...
متن کاملRocuronium anaphylaxis in a 3-year-old girl with no previous exposure to neuromuscular blocking agents.
During the perioperative period, anaphylactic reactions rarely occur. Neuromuscular blocking agents (NMBAs) are responsible for 60-70% of perioperative anaphylactic reactions. This case, we report a case of rocuronium-induced anaphylaxis in a 3-year-old girl with no previous exposure to NMBAs. This case cautions and informs practitioners that an IgE-mediated anaphylactic reaction with rocuroniu...
متن کاملImprovement of suspected rocuronium-induced anaphylaxis after sugammadex administration: A case report
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 addi...
متن کامل