Korean J Anesthesiol.  2010 Dec;59(6):411-415. 10.4097/kjae.2010.59.6.411.

Rocuronium bromide induced anaphylaxis in a child: A case report

• Jang YH
• Kim SG
• Son YH
• Park JM

• KMID: 1766502
• DOI: http://doi.org/10.4097/kjae.2010.59.6.411

Abstract

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.

Keyword

Anaphylactoid reaction; Anaphylaxis; Muscle relaxant; Pediatrics; Rocuronium

MeSH Terms

Anaphylaxis
Androstanols
Anesthesia
Anoxia
Burns
Female
Humans
Hypotension
Methyl Ethers
Muscles
Pediatrics
Preschool Child
Tachycardia
Androstanols
Methyl Ethers