Perioperative anaphylaxis: A new visit to an old topic

Dardeer, Abdulrahman; Shallik, Nabil A.

doi:10.1016/j.tacc.2019.04.005

Cited by 5 publications

(10 citation statements)

References 57 publications

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“…Hashimoto et al described two case reports wherein all the symptoms developing upon the administration of the muscle relaxant disappeared after the administration of sugammadex. Such an event was described by Kim et al, as well [2,14]. Definitely, sugammadex is not the drug of first choice, as it is of the utmost importance to preserve hemodynamics whilst treating anaphylaxis [2].…”

Section: Treatmentmentioning

confidence: 96%

“…Ne postoji nikakvo pravilo koje će anesteziologa pripremiti na adekvatnu reakciju, jer iskustva ukazuju na to da inicijalni simptomi mogu biti blagi, u vidu hipotenzije, dok se kod nekog drugog pacijenta kardiovaskularni simptom može inicijalno pokazati kao teži oblik bradikardije koji progredira do srčanog zastoja [14]. Iako su simptomi anafilakse lako prepoznatljivi kod budnog pacijenta, oni mogu biti zamaskirani tokom anestezije i promaći čak i iskusnom anesteziologu.…”

Section: Simptomiunclassified

“…Tahikardija i respiratorni simptomi, u rukama neiskusnijih anesteziologa, mogu biti interpretirani kao posledica plitke anestezije ili maligne hipertermije. Važno je zapamtiti da odsustvo kožnih manifestacija ne isključuje dijagnozu anafilakse [14].…”

Section: Simptomiunclassified

“…There is no established rule that would prepare an anesthesiologist for the appropriate reaction, since experience has shown that initial symptoms may be mild, in the form of hypotension, while in a different patient a cardiovascular symptom may initially present as a severe form of bradycardia progressing to cardiac arrest [14]. Although the symptoms of anaphylaxis are easily recognizable in a patient who is awake, they may be disguised during anesthesia and may remain unnoticed even by an experienced anesthesiologist.…”

Section: Terapijamentioning

confidence: 99%

“…Tachycardia and respiratory symptoms may be interpreted by inexperienced anesthesiologists as the consequence of shallow anesthesia or malignant hyperthermia. It is important to remember that the absence of skin reactions does not necessarily exclude the diagnosis of anaphylaxis [14].…”

Section: Terapijamentioning

confidence: 99%

See 4 more Smart Citations

Perioperative anaphylaxis caused by muscle relaxants: Do we know enough?

Marković¹,

Vuković²,

Milenković³

et al. 2022

Srpski medicinski časopis Lekarske komore

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Perioperative anaphylaxis caused by muscle relaxants represents a relatively rare, albeit a serious complication during anesthesia. It can result in serious morbidity or even mortality. This reaction usually happens before or after intubation of a patient, that is, a few minutes after muscle relaxant administration. The beginning of the reaction can be missed, even by the most experienced anesthesiologist, since its recognition depends on the severity of the symptoms. There are no guidelines specific to the therapy of muscle relaxant anaphylaxis and therefore therapy is based simply on the general guidelines. Also, in many countries, there are no registries of the incidence of anaphylaxis caused by muscle relaxants. Therefore, this is an extremely important subject for anesthesiology practice, and it requires more attention.

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Section: Treatmentmentioning

confidence: 96%

Section: Simptomiunclassified