ALLEVIATED ANAPHYLACTIC REACTION TO MUSCLE RELAXANTS DUE TO PREOPERATIVE ADMINISTRATION OF CORTICOSTEROIDS

  • dr Danica Marković Klinika za anesteziologiju i intenzivnu terapiju, Klinički centar u Nišu
  • Prof. dr Vesna Marjanović Clinic for anesthesiology and intensive therapy, University clinical center in Niš, Niš, Serbia
  • 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
Keywords: anaphylaxis, drug hypersensitivity, hypersensitivity, neuromuscular agents, period, perioperative, rocuronium bromide

Abstract


Anaphylactic reaction during general anaesthesia represents a rare event in clinical practice with a possible fatal outcome. We present a case of a female patient with no prior history of allergic reactions to rocuronium. Shortly after rocuronium administration, she developed the following signs: tachycardia, low blood pressure and bronchospasm. Skin rash and peripheral signs were absent, probably due to previous premedication. Events like this could be potentially fatal if not recognized and treated in time.  

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Published
2024/04/10
Section
Case report