Korean J Anesthesiol.  2005 Dec;49(6):901-903. 10.4097/kjae.2005.49.6.901.

General and Spinal Anesthetic Experiences in a Patient Suspected with a History of Anaphylactic Reaction to Muscle Relaxants: A case report

• Choi SH
• Lee SJ
• Kim HS
• Min KT

• KMID: 1894337
• DOI: http://doi.org/10.4097/kjae.2005.49.6.901

Abstract

The use of anesthetic agents may induce a certain number of anaphylactic and anaphylactoid reactions. Anesthesiologists, therefore, are well advised to develop a rational approach to minimize risks and evaluate patients who present with histories of allergic drug reactions in the perioperative period. A 63-year-old female patient was withdrawn from operation due to anaphylactic reaction or life-threatening anaphylactoid reaction occurred during induction of anesthesia and successfully resuscitated. Thereafter, skin prick test to anesthetics including intravenous agents such as thiopental, propofol, ketamine, fentanyl and lidocaine, and muscle relaxants such as succinylcholine, vecuronium and atracurium revealed positive reactions to all the tested muscle relaxants. Next anesthetic experience was done for microvascular decompression surgery without use of muscle relaxants. Two years later, she underwent lumbar laminectomy successfully under isobaric spinal anesthesia using tetracaine.

Keyword

anaphylaxis; general and spinal anesthesia; muscle relaxant

MeSH Terms

Anaphylaxis*
Anesthesia
Anesthesia, Spinal
Anesthetics
Atracurium
Female
Fentanyl
Humans
Ketamine
Laminectomy
Lidocaine
Microvascular Decompression Surgery
Middle Aged
Perioperative Period
Propofol
Skin
Succinylcholine
Tetracaine
Thiopental
Vecuronium Bromide
Anesthetics
Atracurium
Fentanyl
Ketamine
Lidocaine
Propofol
Succinylcholine
Tetracaine
Thiopental
Vecuronium Bromide