Three suspected cases of sugammadex-induced anaphylactic shock
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- 作者：Tomonori Takazawa (1)
Yukinari Tomita (2)
Nagahide Yoshida (3)
Akihiro Tomioka (4)
Tatsuo Horiuchi (1)
Chie Nagata (1)
Masaki Orihara (1)
Makiko Hardy Yamada (1)
Shigeru Saito (1)
1. Department of Anesthesiology ; Gunma University Graduate School of Medicine ; 3-39-22 Showa-machi ; Maebashi ; 371-8511 ; Japan
2. Department of Anesthesiology ; Isesaki Municipal Hospital ; 12-1 Tsunatorihoncho ; Isesaki ; 372-0817 ; Japan
3. Department of Anesthesiology ; Saiseikai Maebashi Hospital ; 564-1 Kamishinden-machi ; Maebashi ; 971-0821 ; Japan
4. Department of Anesthesiology ; Gunma Chuo General Hospital ; 1-7-13 Kouuncho ; Maebashi ; 371-0025 ; Japan - 关键词：Sugammadex ; Anaphylactic shock ; General anesthesia
- 刊名：BMC Anesthesiology
- 出版年：2014
- 出版时间：December 2014
- 年：2014
- 卷：14
- 期：1
- 全文大小：230 KB
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20. The pre-publication history for this paper can be accessed here:71-2253/14/92/prepub" class="a-plus-plus">http://www.biomedcentral.com/1471-2253/14/92/prepub - 刊物主题：Anesthesiology; Internal Medicine; Emergency Medicine; Intensive / Critical Care Medicine;
- 出版者：BioMed Central
- ISSN：1471-2253
文摘
Background Sugammadex has a unique mechanism of action and is widely used because of its safety and efficacy. A few recent reports have described allergic reactions to clinical doses of sugammadex. We hereby describe another series of cases of possible anaphylaxis to sugammadex. Case presentation We present three suspected cases of sugammadex-induced anaphylactic shock, including a 13-year-old boy who underwent laparoscopic appendectomy, a 75-year-old woman who underwent left knee arthroplasty, and a 34-year-old man who underwent left pansinectomy for sinobronchitis. All three patients received general anesthesia with rocuronium and their tracheas were intubated. Shortly after injection of sugammadex for reversal of rocuronium, all of them experienced a decrease in blood pressure along with mucocutaneous erythema. In the most severe case, reintubation after extubation was required due to difficulty in manual ventilation. All patients recovered with anti-allergic therapy. On later investigation, all three patients had a positive skin reaction to sugammadex. Conclusion Our results suggest that physicians using sugammadex should be aware of the possibility of sugammadex-induced anaphylaxis.