Suspected Anaphylactic Reaction Prior to Induction of Anesthesia

Although uncommon, anaphylactic reactions during surgery are very dangerous and can result in serious morbidity. Various anesthetics can trigger anaphylactic reactions, and incidents with cephalosporin antibiotics are on the rise. In the case presented, an 84-year-old woman scheduled for calcaneus f...

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Main Authors:	Lee, Kwang Ho, Lim, Hyun Kyo, Park, Ji Hyoung, Do, Hye Jin, Jeon, Yeong Gwan
Format:	Online
Language:	English
Published:	Yonsei University Wonju College of Medicine 2015
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4608229/

id	pubmed-4608229
recordtype	oai_dc
spelling	pubmed-46082292015-11-02 Suspected Anaphylactic Reaction Prior to Induction of Anesthesia Lee, Kwang Ho Lim, Hyun Kyo Park, Ji Hyoung Do, Hye Jin Jeon, Yeong Gwan Case Report Although uncommon, anaphylactic reactions during surgery are very dangerous and can result in serious morbidity. Various anesthetics can trigger anaphylactic reactions, and incidents with cephalosporin antibiotics are on the rise. In the case presented, an 84-year-old woman scheduled for calcaneus fracture surgery, was injected with cefbuperazone as a prophylactic antibiotic. On the way to the operating room, before induction of anesthesia, the patient lost consciousness and showed signs of hypoxemia, and anaphylactic reaction, which included hypotension, bronchospasm, and rash. Five hours after immediate intubation and fluid resuscitation, the patient was extubated and transferred to the general ward. Eight weeks later, the skin prick test confirmed a positive reaction to cefbuperazone. Yonsei University Wonju College of Medicine 2015-03 2015-03-30 /pmc/articles/PMC4608229/ /pubmed/26528427 http://dx.doi.org/10.15280/jlm.2015.5.1.26 Text en © 2015 Journal of Lifestyle Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial LicenseCommercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Lee, Kwang Ho Lim, Hyun Kyo Park, Ji Hyoung Do, Hye Jin Jeon, Yeong Gwan
spellingShingle	Lee, Kwang Ho Lim, Hyun Kyo Park, Ji Hyoung Do, Hye Jin Jeon, Yeong Gwan Suspected Anaphylactic Reaction Prior to Induction of Anesthesia
author_facet	Lee, Kwang Ho Lim, Hyun Kyo Park, Ji Hyoung Do, Hye Jin Jeon, Yeong Gwan
author_sort	Lee, Kwang Ho
title	Suspected Anaphylactic Reaction Prior to Induction of Anesthesia
title_short	Suspected Anaphylactic Reaction Prior to Induction of Anesthesia
title_full	Suspected Anaphylactic Reaction Prior to Induction of Anesthesia
title_fullStr	Suspected Anaphylactic Reaction Prior to Induction of Anesthesia
title_full_unstemmed	Suspected Anaphylactic Reaction Prior to Induction of Anesthesia
title_sort	suspected anaphylactic reaction prior to induction of anesthesia
description	Although uncommon, anaphylactic reactions during surgery are very dangerous and can result in serious morbidity. Various anesthetics can trigger anaphylactic reactions, and incidents with cephalosporin antibiotics are on the rise. In the case presented, an 84-year-old woman scheduled for calcaneus fracture surgery, was injected with cefbuperazone as a prophylactic antibiotic. On the way to the operating room, before induction of anesthesia, the patient lost consciousness and showed signs of hypoxemia, and anaphylactic reaction, which included hypotension, bronchospasm, and rash. Five hours after immediate intubation and fluid resuscitation, the patient was extubated and transferred to the general ward. Eight weeks later, the skin prick test confirmed a positive reaction to cefbuperazone.
publisher	Yonsei University Wonju College of Medicine
publishDate	2015
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4608229/
_version_	1613489079451648000

Suspected Anaphylactic Reaction Prior to Induction of Anesthesia

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