LOCAL-ANESTHETICS AND NEUROMUSCULAR BLOCKING-AGENTS

被引:0
作者
SMITH, DL [1 ]
DESHAZO, RD [1 ]
机构
[1] UNIV SO ALABAMA,MED CTR,MOBILE,AL 36617
关键词
D O I
暂无
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Anaphylactic or anaphylactoid reactions to local anesthetics may exist but are extremely rare. A practical, management approach (provocative dose skin testing) using preservative- and epinephrine-free local anesthetic preparations has been developed and is detailed. Anaphylactic reactions to neuromuscular blockers have been shown to be due to cross-linking of IgE by these bivalent compounds. A hypotensive reaction occurring after administration of a neuromuscular blocker should be assumed to be due to anaphylaxis. Reactions to these agents can be predicted with skin testing.
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页码:613 / 634
页数:22
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