UBLAŽENA ANAFILAKTIČKA REAKCIJA NA MIŠIĆNE RELAKSANTE USLED PREOPERATIVNE PRIPREME KORITKOSTEROIDIMA

  • dr Danica Marković Klinika za anesteziologiju i intenzivnu terapiju, Klinički centar u Nišu
  • Prof. dr Vesna Marjanović Klinika za anesteziju i intenzivnu terapiju, Univerzitetski klinički centar u Nišu
  • dr Natalija Vuković Klinika za anesteziju i intenzivnu terapiju, Univerzitetski klinički centar u Nišu
  • Mladjan Golubović Klinika za anesteziju i intenzivnu terapiju, Univerzitetski klinički centar u Nišu
  • Jelena Milenković Katedra za patološku fiziologiju, Medicinski fakultet, Univerzitet u Nišu
  • dr Toma Kovačević Klinika za otorinolaringologiju, Univerzitetski klinički centar u Nišu
  • Prof. dr Milan Stanković Klinika za otorinolaringologiju, Univerzitetski klinički centar u Nišu
Ključne reči: anafilaksa, preosetljivost na lekove, hipersenzitivnost, neuromišićni agensi, perioperativni period, rokuronijum-bromid

Sažetak


Anafilaksa tokom anestezije predstavlja redak događaj u kliničkoj praksi, koji može dovesti i do smrtnog ishoda. Prikazan je slučaj bolesnice bez prethodne istorije alergijskih reakcija izazvanih rokuronijumom. Ubrzo nakon primene rokuronijuma, došlo je do pojave tahikardije, niskog krvnog pritiska i bronhospazma. Urtikarija i periferni simptomi su izostali, najverovatnije usled prethodne premedikacije kortikosteroidima. U praksi, situacije poput ove mogu biti fatalne ukoliko se ne prepoznaju i ne tretiraju pravovremeno.

Reference

Brereton A, Russell WJ. Anaphylaxis to Muscle Relaxants: An Audit of Ten Years of Allergy Testing at the Royal Adelaide Hospital. Anaesthesia and Intensive Care 2012; 40(5): 861-6. [CrossRef] [PubMed]

Hashimoto M, Sato A, Tachi N, Okumura Y, Kadoi K, Harada J, Okuda M. Two Cases of Rocuronium-Induced Anaphylaxis/Anaphylactic Shock Successfully Treated With Sugammadex. Anesth Prog 2019; 66(3): 151–5. [CrossRef] [PubMed]

He W, Li S, Zhang J, Zhang J, Mu K, Li X. Effect of levothyroxine in blood pressure in patients with subclinical hypothyreoidism: A systematic review and meta-analysis. Front Endocrinol (Lausanne) 2018; 9:454. [CrossRef] [PubMed]

Kim SM, Oh S, Ryu SA. Treatment of rocuronium-induced anaphylaxis using sugammadex - A case report. Anesth Pain Med 2021;16(1):56-9. [CrossRef] [PubMed]

Kroigaard M, Garvey LH, Gillberg L, Johansson GO, Mosbech H, Florvaag E, Harboe T, Eriksson LI. Scandinavian Clinical Practice Guidelines on the diagnosis, management and follow-up of anaphylaxis during anaesthesia. Acta Anaesthesiol Scand 2007; 51(6): 665-70. [CrossRef] [PubMed]

Li J, Best OG, Rose MA, Green SL, Fulton RB, Capon MJ, Krupowicz BA, Fernando SL. Assessing cross-reactivity to neuromuscular blocking agents by skin and basophil activation tests in patients with neuromuscular blocking agent anaphylaxis. B J Anaesth 2019; 123(1): E144-50. [CrossRef] [PubMed]

Macharadze T, Davies A, Fedor I. A Well-Trained Team During Anaphylactic Shock After Rocuronium in a Patient With Aortic Stenosis: A Case Report. Front Med (Lausanne); 6:305. [CrossRef] [PubMed]

Mali S. Anaphylaxis during the perioperative period. Anesth Essays Res 2012;6(2):124-33. [CrossRef] [PubMed]

McDonnell NJ, Pavy TJG, Green LK, Platt PR. Sugammadex in the management of rocuronium-induced anaphylaxis. Br J Anaesth 2011; 106 (2): 199–201. [CrossRef] [PubMed]

Meng J, Rotiroti G, Burdett E,. Lukawska JJ. Anaphylaxis during general anaesthesia: experience from a drug allergy centre in the UK. Acta Anaesthesiol Scand 2017; 31(3): 281-9. [CrossRef] [PubMed]

Régnier Galvão V, Giavina-Bianchi P, Castells M. Perioperative Anaphylaxis. Curr Allergy Asthma Rep 2014; 14(8): 452. [CrossRef] [PubMed]

Sudha P, Koshy RC, Pillai VS. Undetected hypothyroidism and unexpected anesthetic complications. J Anesthesiol Clin Pharmacol 2012; 28(2): 276-7. [CrossRef] [PubMed]

Suzuki Y, Liu S, Kadoya F, Takasaki Y, Yorozuya T, Mogi M. Association between mutated Mas-related G protein-coupled receptor-X2 and rocuronium-induced intraoperative anaphylaxis. Br J Anaesth 2020; 125(6): E446-8. [CrossRef] [PubMed]

Takahashi K, Tanaka S, Watanabe M, Yamakage M. Rocuronium-induced anaphylaxis: a case report. JA Clin Rep 2019; 5(1): 81. [CrossRef] [PubMed]

Takazawa T, Mitsuhata H, Mertes PM. Sugammadex and rocuronium-induced anaphylaxis. J Anesth 2016; 30(2): 290–7. [CrossRef] [PubMed]

Takazawa T, Yamaura K, Hara T et al. Practical guidelines for the response to perioperative anaphylaxis. J Anesth 2021; 35(6): 778–93. [CrossRef] [PubMed]

Takise Y, Kato J, Suhara T et al. Life-threatening rocuronium-induced anaphylactic shock without cutaneous manifestations successfully reversed with sugammadex: a case report. JA Clin Rep 2020; 6(1): 95. [CrossRef] [PubMed]

Udovcic M, Herrera Pena R, Patham B, Tabatabai L, Kansara A. Hypothyroidism and the Heart. Methodist Debakey Cardiovasc J 2017; 13(2): 55–9. [CrossRef] [PubMed]

Zou Y, Shao LJZ, Xue FS. Perioperative anaphylaxis: a potential hazard to the safety of surgical patients. Chin Med J (Engl) 2020: 133(5): 609-12. [CrossRef] [PubMed]

Objavljeno
2024/04/10
Rubrika
Prikaz bolesnika