Anaphylaxis with angioedema by rocuronium during induction of general anesthesia - A case report

Won Ju Jeong, Woon Young Kim, Joo Hyung Son, Yoon Sook Lee, Jae Hwan Kim, Young Cheol Park

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Perioperative anaphylaxis is characterized by severe respiratory and cardiovascular manifestations. Correct management of anaphylaxis during anaesthesia requires a multidisciplinary approach with prompt recognition and treatment of the acute event by the attending anesthesiologist. A 34-year-old woman was scheduled to undergo endo venous laser therapy of varicose veins. She had no history of allergies and had never undergone general anesthesia. General anesthesia was induced with propofol and rocuronium bromide. Approximately three minutes after rocuronium administration, hypotension and tachycardia developed and angioedema around the eyelids and skin rashes and urticaria appeared. The patient received ephedrine and hydrocortisone with hydration. After achieving stable vital signs and symptom relief, surgery was performed without complications. A postoperative skin dermal test performed to identify the agent responsible revealed a positive skin test for rocuronium.

Original languageEnglish
Pages (from-to)391-395
Number of pages5
JournalKorean Journal of Anesthesiology
Volume58
Issue number4
DOIs
Publication statusPublished - 2010 Apr 1

Fingerprint

Angioedema
Anaphylaxis
Skin Tests
General Anesthesia
Ephedrine
Vital Signs
Urticaria
Varicose Veins
Laser Therapy
Propofol
Eyelids
Exanthema
Tachycardia
Hypotension
Signs and Symptoms
Hydrocortisone
Hypersensitivity
Anesthesia
rocuronium
Therapeutics

Keywords

  • Anaphylaxis
  • Angioedema
  • Intradermal skin test
  • Rocuronium

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Anaphylaxis with angioedema by rocuronium during induction of general anesthesia - A case report. / Jeong, Won Ju; Kim, Woon Young; Son, Joo Hyung; Lee, Yoon Sook; Kim, Jae Hwan; Park, Young Cheol.

In: Korean Journal of Anesthesiology, Vol. 58, No. 4, 01.04.2010, p. 391-395.

Research output: Contribution to journalArticle

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