Allergy investigations after two cases of adverse reactions to a neuromuscular blocking agent and management for subsequent general anaesthesia

被引:3
作者
Louvier, N [1 ]
Chomel, A
Collet, E
Juniot, A
Pillet, M
机构
[1] CHU Dijon, Hop Gen, Dept Anesthesie Reanimat, F-21000 Dijon, France
[2] CHU Dijon, Hop Bocage, Dermatol Serv, F-21000 Dijon, France
[3] Clin Fontaine, F-21121 Dijon, France
来源
ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION | 2003年 / 22卷 / 01期
关键词
muscle relaxants; anaphylaxis; cisatracurium; rocuronium;
D O I
10.1016/S0750-7658(02)00802-X
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We report two cases of severe anaphylactic reactions to rocuronium. Diagnosis was confirmed by skin tests and specific IgE assay. Gross-reactivity to all neuromuscular blocking agents was investigated by intradermal tests and leucocyte histamine release test. Intradermal tests and leukocyte histamine release were negative for cisatracurium. The two patients had undergone a subsequent general anaesthesia using cisatracurium and did not present any adverse reaction. (C) 2002 Editions scientifiques et medicates Elsevier SAS. All rights reserved.
引用
收藏
页码:54 / 57
页数:4
相关论文
共 15 条
[1]  
BIRNBAUM J, 1991, CLIN REV ALLERG, V9, P281
[2]   Anaphylactic reaction after cisatracurium [J].
Clendenen, SR ;
Harper, JV ;
Wharen, RE ;
Guarderas, JC .
ANESTHESIOLOGY, 1997, 87 (03) :690-692
[3]   Failure to prevent an anaphylactic reaction to a second neuromuscular blocking drug during anaesthesia [J].
Fisher, MM ;
Merefield, D ;
Baldo, B .
BRITISH JOURNAL OF ANAESTHESIA, 1999, 82 (05) :770-773
[4]  
GUEANT JL, 1991, ALLERGY, V46, P452
[5]   HISTAMINE-RELEASE ASSAY AND RADIOIMMUNOASSAY FOR THE DETECTION OF IGE ANTIBODIES AGAINST NEUROMUSCULAR BLOCKING-DRUGS [J].
GUILLOUX, L ;
RICARDBLUM, S ;
VILLE, G ;
MOTIN, J .
ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION, 1993, 12 (02) :182-186
[6]   Anaphylactoid reactions after cisatracurium administration in six patients [J].
Krombach, J ;
Hunzelmann, N ;
Köster, F ;
Bischoff, A ;
Hoffmann-Menzel, H ;
Buzello, W .
ANESTHESIA AND ANALGESIA, 2001, 93 (05) :1257-1259
[7]   Anaphylaxis during anaesthesia. Results of a two-year survey in France [J].
Laxenaire, MC ;
Mertes, PM .
BRITISH JOURNAL OF ANAESTHESIA, 2001, 87 (04) :549-558
[8]   PREDICTIVE VALUE OF INTRADERMAL TESTS WITH MUSCLE-RELAXANTS [J].
LEYNADIER, F ;
CALINAUX, C ;
DRY, J .
ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION, 1989, 8 (02) :98-101
[9]  
Martínez FV, 1999, J INVEST ALLERG CLIN, V9, P126
[10]   PREVENTION BY MONOVALENT HAPTENS OF IGE-DEPENDENT LEUKOCYTE HISTAMINE-RELEASE TO MUSCLE-RELAXANTS [J].
MONERETVAUTRIN, DA ;
KANNY, G ;
GUEANT, JL ;
WIDMER, S ;
LAXENAIRE, MC .
INTERNATIONAL ARCHIVES OF ALLERGY AND IMMUNOLOGY, 1995, 107 (1-3) :172-175