PURPOSE To report a case of anaphylaxis to rocuronium and the sensitivities to multiple neuromuscular blocking drugs in a patient with no previous exposure to this group of drugs. We describe the current recommendations for both intraoperative and postoperative testing of these patients. CLINICAL FEATURES A 36-yr-old man was admitted for repair of a ruptured Achilles tendon. Following inducti...

BACKGROUND Lymphazurin 1% blue dye can cause a severe anaphylactic reaction in approximately 1-3% of patients. CASE PRESENTATION We describe a case of intraoperative anaphylaxis resulting from Lymphazurin 1% blue dye. A 48-year old woman undergoing a mastectomy with sentinel lymph node biopsy experienced a biphasic anaphylactic reaction with two episodes of hypotension at 15 minutes and 2 hou...

Background: Craniosynostosis surgery is one of the most hemorrhagic interventions, where transfusion rates vary from 20% to 100% depending on study. Objective: To describe intraoperative and postoperative outcomes in a secondary analysis children who underwent craniosynostosis included initial retrospective study with aim proposing implementation optimization protocols for outcome improvement. ...

endotracheal tube (ett) cuff herniation is a rare, and often difficult to diagnose, cause of bronchial obstruction. we present a case of outside cuff herniation of an endotracheal tube that caused pulmonary right lung atelectasis. a 29-year-old man ,a case of car accident with multiple fractures, was admitted to the emergency ward and transferred to the operating room(or) for open reduction and...

determine the incidence of intraoperative hypersensitivity events in one U.S. surgical center. The authors concluded that the overall incidence of anaphylaxis was 1 in 4,583 surgeries, whereas that of hypersensitivity was 1 in 677. However, major methodologic issues should be highlighted, and the results must be debated because no conclusion can be effectively drawn from this study. First, the ...