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근이완제에 대한 아나필락시스의증 과거력이 있는 환자의 전신 및 척수마취 경험

Other Titles
 General and Spinal Anesthetic Experiences in a Patient Suspected with a History of Anaphylactic Reaction to Muscle Relaxants 
Authors
 최승호  ;  이성진  ;  김홍선  ;  민경태 
Citation
 KOREAN JOURNAL OF ANESTHESIOLOGY, Vol.49(6) : 901-903, 2005 
Journal Title
 KOREAN JOURNAL OF ANESTHESIOLOGY 
ISSN
 2005-6419 
Issue Date
2005
MeSH
anaphylaxis ; general and spinal anesthesia ; muscle relaxant
Keywords
anaphylaxis ; general and spinal anesthesia ; muscle relaxant
Abstract
The use of anesthetic agents may induce a certain number of anaphylactic and anaphylactoid reactions. Anesthesiologists, therefore, are well advised to develop a rational approach to minimize risks and evaluate patients who present with histories of allergic drug reactions in the perioperative period. A 63-year-old female patient was withdrawn from operation due to anaphylactic reaction or life-threatening anaphylactoid reaction occurred during induction of anesthesia and successfully resuscitated. Thereafter, skin prick test to anesthetics including intravenous agents such as thiopental, propofol, ketamine, fentanyl and lidocaine, and muscle relaxants such as succinylcholine, vecuronium and atracurium revealed positive reactions to all the tested muscle relaxants. Next anesthetic experience was done for microvascular decompression surgery without use of muscle relaxants. Two years later, she underwent lumbar laminectomy successfully under isobaric spinal anesthesia using tetracaine.
Files in This Item:
T200501212.pdf Download
DOI
OAK-2005-05732
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Min, Kyeong Tae(민경태) ORCID logo https://orcid.org/0000-0002-3299-4500
Lee, Sung Jin(이성진)
Choi, Seung Ho(최승호) ORCID logo https://orcid.org/0000-0001-8442-4406
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/151348
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