Calderon AL, Diot N, Benatir F, Christin F, Hautin E, Truc C, Allaouchiche B, Boselli E. Immediate allergic cross-reactivity to levobupivacaine and ropivacaine.
Anaesthesia 2012;
68:203-5. [PMID:
23121555 DOI:
10.1111/j.1365-2044.2012.07314.x]
[Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Allergic reactions to amide local anaesthetic agents are rare. We report the case of a 74-year-old man who suffered anaphylaxis, presenting with cardiovascular collapse, immediately after receiving regional anaesthesia on two separate occasions, the first involving the use of levobupivacaine and the second using ropivacaine. Skin testing revealed positive reactions to both levobupivacaine and ropivacaine, and negative reactions to articaine and lidocaine. Severe allergic reactions can be caused by the amide local anaesthetic drugs, levobupivacaine and ropivacaine.
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