| Sugammadex in the management of rocuronium-induced anaphylaxis. | |
| | |
MedLine Citation:
|
PMID: 21149287 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Anaphylaxis during anaesthesia is a rare event that in ∼60-70% of cases is secondary to neuromuscular blocking agents. It has been suggested previously that the recent introduction of sugammadex may provide a novel therapeutic approach to the management of rocuronium-induced anaphylaxis. We describe the case of a 33-yr-old female who suffered a severe anaphylactic reaction to rocuronium, presenting with cardiovascular collapse on induction of anaesthesia. After 19 min of traditional management, she was given a bolus of sugammadex 500 mg. This was associated with an improvement in the adverse haemodynamic state. The underlying reasons for this are unclear, but sugammadex may potentially be a useful adjunct in the management of rocuronium-induced anaphylaxis. |
| | |
Authors:
|
N J McDonnell; T J G Pavy; L K Green; P R Platt |
Related Documents
:
|
14766487 - Long-term motor programming improvements occur via concatenation of movement sequences ... 16871857 - A review of evidence on the conceptual elements informing client-centred practice. 18448207 - The experience of faculty practice: developing and evaluating a newly established program. 19625827 - A medical home: value and implications of knowledge management. 10119317 - Triage and equality: an historical reassessment of utilitarian analyses of triage. 15241997 - Awareness of palliative medicine among pakistani doctors: a survey. |
Publication Detail:
|
Type: Case Reports; Journal Article Date: 2010-12-10 |
Journal Detail:
|
Title: British journal of anaesthesia Volume: 106 ISSN: 1471-6771 ISO Abbreviation: Br J Anaesth Publication Date: 2011 Feb |
Date Detail:
|
Created Date: 2011-01-14 Completed Date: 2011-02-16 Revised Date: 2011-08-30 |
Medline Journal Info:
|
Nlm Unique ID: 0372541 Medline TA: Br J Anaesth Country: England |
Other Details:
|
Languages: eng Pagination: 199-201 Citation Subset: IM |
Affiliation:
|
School of Women's and Infants' Health, University of Western Australia, Australia. nolan.mcdonnell@health.wa.gov.au |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Anaphylaxis / chemically induced, drug therapy*, physiopathology Androstanols / adverse effects* Female Hemodynamics / drug effects Humans Neuromuscular Nondepolarizing Agents / adverse effects* gamma-Cyclodextrins / therapeutic use* |
| Chemical | |
Reg. No./Substance:
|
0/Androstanols; 0/Neuromuscular Nondepolarizing Agents; 0/Sugammadex; 0/gamma-Cyclodextrins; 143558-00-3/rocuronium |
| Comments/Corrections | |
Comment In:
|
Br J Anaesth. 2011 Aug;107(2):275-6
[PMID:
21757555
]
Br J Anaesth. 2011 Jun;106(6):911-2 [PMID: 21576105 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Incidence of perioperative adverse events in obese children undergoing elective general surgery.
Next Document: Information gain in patients using a multimedia website with tailored information on anaesthesia.