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전신마취 유도를 위해 Cisatracurium과 Sufentanil의 정맥투여 후 발생한 아나필락시스 쇼크

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Affiliated Authors
김현지
Alternative Author(s)
Kim, Hyun Jee
Journal Title
Keimyung Medical Journal
Issued Date
2014
Keyword
AnaphylaxisAnesthesiaCisatracuriumShockSufentanil
Abstract
Anaphylaxis under general anesthesia is rare but can present as cardiovascular collapse, airway obstruction, and/or skin manifestation. A high level of suspicion is required for the recognition and prompt management and anaphylaxis can be diagnosed through clinical findings. The most common causes of anaphylaxis during general anesthesia are neuromuscular blocking agents, antibiotics, and latex. We present a case of anaphylactic shock following intravenous injection of cisatracurium and sufentanil. The patient was under anesthesia induction and within minutes after injection of these drugs, generalized erythema, bronchospasm, and severe hypotension developed. The Patient was managed with epinephrine, proper hydration, hydrocortisone, and pheniramine and the surgery was decided to be postponed. Subsequent surgery should be performed after conducting skin tests which can help identify the causal agents and determine alternative drugs. Anesthesiologists should be aware that not only expeditious diagnosis and management of anaphylaxis but also further evaluation in order to determine the safe method of subsequent anesthesia.
Alternative Title
Anaphylactic Shock Following Intravenous Injection of Cisatracurium and Sufentanil During Anesthesia Induction
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Publisher
Keimyung University School of Medicine
Citation
Keimyung Medical Journal, Vol.33(2) : 140-145, 2014
Type
Article
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/15645
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2014
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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