Dewachter P, Mouton-Faivre C, Pertek JP, Boudaa C, Mertes PM. Intérêt des tests cutanés pour le choix d'un curare après une réaction anaphylactique.
ACTA ACUST UNITED AC 2005;
24:543-6. [PMID:
15904734 DOI:
10.1016/j.annfar.2005.02.016]
[Citation(s) in RCA: 14] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2004] [Accepted: 02/10/2005] [Indexed: 11/30/2022]
Abstract
We report a grade III allergic hypersensitivity reaction occurring in a 72-year-old patient immediately after anaesthesia induction. Anaphylaxis to cisatracurium was diagnosed on clinical symptoms, biological tests and positivity of the cutaneous tests to this neuromuscular blocking agent. Five days after this allergological assessment, rocuronium, a muscle relaxant for which skin tests appeared negative was used during surgery without adverse effects. The authors underline the value of a detailed allergological assessment to identify the pathophysiologic mechanism, the culprit drug and to propose a safer alternate drug that might be used.
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