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[Anaphylaxis after rocuronium: advantage of blood tests for early diagnosis]
P Joseph1, Y Benoit, M Gressier
1Service d'anesthésie-réanimation, hôpital cardio-vasculaire et pneumologique Louis Pradel, BP Lyon Monchat, 69394 Lyon, France.
Annales Francaises D'Anesthesie Et De Reanimation
|April 20, 2002
Abstract:
A 56-year-old patient was scheduled for coronary artery bypass surgery, because of a severe coronary artery disease. Soon after induction of anaesthesia, he rapidly developed a cardiovascular collapse with bronchospasm and rash. Specific immunoglobulin E and tryptase measurements supported the diagnosis of grade III anaphylactic shock due to rocuronium bromide. A few days later, a general anaesthesia was administered without muscle relaxant and was uneventful.