Near Fatal Anaphylactoid Reaction Due to Bupivacaine Spinal Anaesthesia

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Near Fatal Anaphylactoid Reaction Due to Bupivacaine Spinal Anaesthesia

Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 3

Abstract

ABSTRACT Cardiorespiratory collapse in perioperative scenario-a dreaded occurrence, can have multiple aetiologies. Among them hypersensitivity reactions although rare, contribute significantly to patient mortality. The incidence of hypersensitivity reactions during anaesthesia have been reported to a range from 1 in 4000 to 1 in 25,000. Latex gloves and skeletal muscle relaxants are quite renowned in causing allergic reactions during perioperative period. The needle points less towards local anaesthetics, due to the rarity of such reports in literature. Also, the use of amide linked local anaesthetics for spinal anaesthesia reduces the chances of any such allergies occurring. Here, we report a case of severe anaphylactoid reaction occurring due to Bupivacaine given as a spinal anaesthetic. The extreme rarity of such reports implicating Bupivacaine as the causative agent for perioperative hypersensitivity puts this case in sharp focus. Preventing any such future episodes that are detrimental to a patient’s well-being require awareness and skill on the part of the whole team. Exploring all questionable causative agents; however, less likely or farfetched therefore becomes important.

Authors and Affiliations

Shruti Singh, Prashant Kumar Singh

Keywords

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EP ID EP521102
DOI 10.7860/JCDR/2018/29288.11330
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