Absence of elevated serum tryptase in rocuronium-induced anaphylaxis during discectomy under general anesthesia: A case report
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 6
Abstract
Abstract: A 43-year-old female patient, who had previously undergone surgery under general anesthesia without any problems, was scheduled for discectomy. Propofol and rocuronium were injected sequentially to induce general anesthesia. Twenty minutes after the rocuronium injection, severe hypotension, tachycardia and bronchospasm developed, and delayed skin rashes appeared. The operation was cancelled. No postoperative complications were evident, and the patient was discharged from the hospital. Serum tryptase value at the time of anaphylaxis was within normal ranges. But skin prick test and intradermal test was found to anaphylaxis caused by rocuronium after six weeks. Keywords:anaphylaxis; general anesthesia; rocuronium; tryptases
Authors and Affiliations
Jeong Han Lee
Delayed Presentation of Diaphragmatic Rupture: Our Experience with Six Cases
With day to day increase in the events related to road traffic accidents, diaphragmatic injury is not uncommon especially on the left dome of diaphragm with the herniation of visceras like stomach, spleen, or even small...
Hepatitis C Virus (HCV) Genotyping and its Clinical Utility for Disease Monitoring
The hepatotropic viruses are a major public health problem representing the most common cause of liver disease worldwide. The distribution of HCV genotypes vary according to the geographical region. Genotypes 1-3 are wid...
Comparison of In-Vitro Antifungal Sensitivity Testing Methods - Broth Microdilution and Modified Agar Dilution: An Analytical Study on Clinical Candida Isolates
Abstract: The increasing incidence of clinically significant Candida infections and raise in antifungal resistance among these isolates necessitates routine antifungal susceptibility testing in clinical laboratories. The...
Metabolic Alteration in Prostatic Neoplasm-An Eastern Indian Study
Prostate cancer, a disease of aging men, is a growing problem in Asian countries in last two decades. To find out any metabolic alterations in prostatic neoplasm. One hundred non diabetic men aged 50 to 80 yrs were selec...
Evaluation of Gabapentin in Breast Surgery (Our Experience of 60 Cases)
Successful acute pain management after breast surgery remains challenging, and if not achieved, may increase the likelihood of subsequent chronic pain. Many options are available for the treatment of postoperative pain a...