전신마취 중 치과 치료를 위한 Lidocaine 주입 후 발생한 아나필락시스

Anaphylaxis or anaphylactoid reactions rarely occur during the perioperative period but can be a devastating complication of general anesthesia. We experienced a patient with an unexpected anaphylaxis. A 11-yr-old boy was scheduled for extraction and treatment of caries under general anesthesia. Ket...

Full description

Saved in:
Bibliographic Details
Published inKorean journal of anesthesiology Vol. 55; no. 3; pp. 395 - 398
Main Authors 인장혁, Jang Hyeok In, 최진우, Jin Woo Choi, 주진덕, Jin Deok Joo, 김대우, Dae Woo Kim, 정홍수, Hong Soo Jung, 박희정, Hee Jung Park
Format Journal Article
LanguageKorean
Published 대한마취통증의학회 30.09.2008
Subjects
anaphylaxis
general anesthesia
Lidocaine
Online AccessGet full text
ISSN2005-6419

Cover

More Information
Summary:Anaphylaxis or anaphylactoid reactions rarely occur during the perioperative period but can be a devastating complication of general anesthesia. We experienced a patient with an unexpected anaphylaxis. A 11-yr-old boy was scheduled for extraction and treatment of caries under general anesthesia. Ketamine, thiopental sodium and rocuronium were used for induction of anesthesia. After induction lidocaine was injected through oral mucosa for pretreatment. About 3 minutes later hypotension, tachycardia, bronchoconstriction and reddish skin eruptions developed. The operation was put off and skin prick test for screening the contributing drug was performed. Lidocaine reacted positively to the test. Based upon the result, second operation could be performed safely and successfully without using lidocaine. (Korean J Anesthesiol 2008; 55: 395~8)
Bibliography:The Korean Society of Anesthesiologists
ISSN:2005-6419