Rocuronium‑induced anaphylactic shock in pregnancy successfully treated with sugammadex
Authors:
T. Musilová 1,3; D. Seidlová 2,3; P. Štourač 1,3; K. Pešková 2,3; E. Řeháčková 2,3
Authors place of work:
Klinika dětské anesteziologie a resuscitace, Fakultní nemocnice, Brno
1; II. anesteziologicko‑resuscitační, oddělení, Fakultní nemocnice, Brno
2; Lékařská fakulta Masarykovy Univerzity, Brno
3
Published in the journal:
Anest. intenziv. Med., 33, 2022, č. 3-4, s. 161-163
Category:
Case Report
doi:
https://doi.org/10.36290/aim.2022.024
Summary
Muscle relaxants are the most common cause of allergic reactions during the perioperative period. This reaction could be potentially life-threatening because of the intravenous route of administration of the drugs used for general anesthesia. We describe a case of rocuronium-induced anaphylactic shock in a 26-years-old woman with suspected extrauterine pregnancy successfully treated with sugammadex.
Keywords:
pregnancy – sugammadex – anaphylactic shock – rocuronium
Zdroje
1. Dewachter P, Mouton‑Faivre C, Emala CW. Anaphylaxis and anesthesia: controversies and new insights. Anesthesiology. 2009 Nov;111(5):1141-50. doi: 10.1097/ALN.0b013e3181bbd443. PMID: 19858877.
2. Takise Y, Kato J, Suhara T, Yamada T, Funakoshi T, Takahashi H, et al. Life‑threatening rocuronium‑induced anaphylactic shock without cutaneous manifestations successfully reversed with sugammadex: a case report. JA Clin Rep. 2020 Dec 7;6(1):95. doi: 10.1186/s40981-020-00402-y. PMID: 33289045; PMCID: PMC7721765.
3. Hashimoto M, Sato Boku A, Tachi N, Okumura Y, Kadoi K, Harada J, et al. Two Cases of Rocuronium‑Induced Anaphylaxis/Anaphylactic Shock Successfully Treated With Sugammadex. Anesth Prog. 2019 Fall;66(3):151-155. doi: 10.2344/anpr-66-01-07. PMID: 31545668; PMCID: PMC6759648.
4. Mertes PM, Laxenaire MC. Allergic reactions occurring during anaesthesia. Eur J Anaesthesiol. 2002 Apr;19(4):240-62. doi: 10.1017/s0265021502000418. PMID: 12074414.
5. Harper NJN, Cook TM, Garcez T, Farmer L, Floss K, Marinho S, et al. Anaesthesia, surgery, and life‑threatening allergic reactions: epidemiology and clinical features of perioperative anaphylaxis in the 6th National Audit Project (NAP6). Br J Anaesth. 2018 Jul;121(1):159-171. doi: 10.1016/j. bja.2018. 04. 014. Epub 2018 May 21. PMID: 29935567.
6. Reber LL, Hernandez JD, Galli SJ. The pathophysiology of anaphylaxis. J Allergy Clin Immunol. 2017 Aug;140(2):335-348. doi: 10.1016/j.jaci.2017. 06. 003. PMID: 28780941; PMCID: PMC5657389.
7. Adamus M, Cvachovec K, Černý V, Herold I, Horáček M, Průcha M, et al. Doporučený postup pro léčbu anafylaktické nebo anafylaktoidní reakce v průběhu anesteziologické péče. Anest intenziv Med. 2013;24(4):288-291.
8. Lee JK, Vadas P. Anaphylaxis: mechanisms and management. Clin Exp Allergy. 2011 Jul;41(7):923- 38. doi: 10.1111/j.1365-2222.2011.03779.x. PMID: 21668816.
9. Ring J, Behrendt H, de Weck A. History and classification of anaphylaxis. Chem Immunol Allergy. 2010;95:1-11. doi: 10.1159/000315934. Epub 2010 Jun 1. PMID: 20519878.
10. Schaller SJ, Fink H. Sugammadex as a reversal agent for neuromuscular block: an evidence‑based review. Core Evid. 2013;8:57-67. doi: 10.2147/CE.S35675. Epub 2013 Sep 25. PMID: 24098155; PMCID: PMC3789633.
Štítky
Anaesthesiology, Resuscitation and Inten Intensive Care MedicineČlánok vyšiel v časopise
Anaesthesiology and Intensive Care Medicine
2022 Číslo 3-4
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