Anaphylactoid reaction complicating neonatal anaesthesia.

Autor: Pollock EM, MacLeod AD, McNicol LR
Jazyk: angličtina
Zdroj: Anaesthesia [Anaesthesia] 1986 Feb; Vol. 41 (2), pp. 178-80.
DOI: 10.1111/j.1365-2044.1986.tb13176.x
Abstrakt: A three-week-old girl presented for surgery for congenital pyloric stenosis. The anaesthetic technique included intravenous induction with thiopentone and neuromuscular blockade with atracurium. The administration of these drugs was followed within 2-3 minutes by oedema of the eyelids and epiglottis, reduced peripheral circulation and central cyanosis. There was no previous exposure to either drug and no definite family history of allergy. Analysis of subsequent sequential blood samples indicated that the reaction mechanism was non-immune and was presumed to be due to pharmacological release of histamine.
Databáze: MEDLINE