Case of anaphylactic reaction caused by sugammadex

作者: Nobuhiro Maekawa , Riichiro Chuma , Yasushi Motoyama , Shinichirou Izuta

DOI:

关键词: AnesthesiaAnaphylactic reactionPentazocineMedicinePropofolIntensive care unitSugammadexRocuroniumSevofluraneContinuous infusion

摘要: A 17-year-old man was scheduled for ventriculo-peritoneal shunt under general anesthesia. Anesthesia induced by propofol, rocuronium and pentazocine, maintained with sevoflurane nitrous oxide. The operation finished in 1 hour 4 minutes without trouble. After the operation, sugammadex administered. about 2 minutes, redness wheal appeared body trunk, SpO2 dropped to appearance of rapid symptom immediately after administration indicated that anaphylactic reaction had occurred. We administered adrenaline. adrenaline several times, cutaneous findings became improved stabilized. started continuous infusion adrenaline, patient moved intensive care unit (ICU). Twelve hours entering ICU, extubated. He showed no troubles thereafter, left hospital. introduction clinical use, 7 cases were reported. must know can be sugammadex.

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