Fatal Anaphylaxis to Atracurium: A Case Report.
Journal
A&A practice
ISSN: 2575-3126
Titre abrégé: A A Pract
Pays: United States
ID NLM: 101714112
Informations de publication
Date de publication:
01 Mar 2019
01 Mar 2019
Historique:
pubmed:
22
8
2018
medline:
14
6
2019
entrez:
22
8
2018
Statut:
ppublish
Résumé
A 52-year-old patient was scheduled for a cystoscopy. Anesthesia was induced by intravenous injection of fentanyl and propofol. After administration of atracurium, he became bradycardic and suffered a cardiac arrest. Despite prolonged cardiopulmonary resuscitation, the patient could not be revived. Electrolytes and hemoglobin levels were normal, and a transthoracic echocardiogram showed no signs of pericardial effusions or of any left ventricular contraction. The postmortem found no pathology. However, mast cell tryptase was raised significantly, indicating fatal anaphylaxis. Having presented no classic clinical signs, this case is a reminder that rapid cardiovascular collapse can be the sole clinical feature of anaphylaxis.
Identifiants
pubmed: 30130281
doi: 10.1213/XAA.0000000000000866
pii: 02054229-201903010-00004
doi:
Substances chimiques
Neuromuscular Nondepolarizing Agents
0
Atracurium
2GQ1IRY63P
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
145-146Références
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