Anaphylaxis after induction to general anaesthesia: Four case reports

Czech version

Authors: Frančáková Jana; Fiala Hynek
Authors‘ workplace: Klinika anesteziologie a resuscitace Fakultní nemocnice Olomouc
Published in: Anest. intenziv. Med., 20, 2009, č. 2, s. 73-77
Category: Anaesthesiology - Case Report

Overview

Allergic reactions during regional and general anaesthesia represent relatively infrequent but serious complications. Out of the drugs used in anaesthetics, the most common triggers of allergic reactions are muscle relaxants, particularly suxamethonium and rocuronium. Atracurium on the other hand usually causes anaphylactoid reactions. The authors present four case reports illustrating the anaphylactic and anaphylactiod reactions. The pathophysiology, diagnostics and management of serious allergic reactions are discussed. The authors also discuss the preoperative assesment and preparation of allergic patients and the preparation of the anaesthesiologists for managing these complications.

Keywords:
anaphylaxis –⁠ muscle relaxants –⁠ rocuronium –⁠ anaesthesia

Sources

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Assoc. Prof. MUDr. Josef Hoder, CSc., in the memories of his colleagues and friends

Assoc. Prof. MUDr Josef Hoder, CSc. (1912–1987)

Article was published in

Anaesthesiology and Intensive Care Medicine

2009 Issue 2