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Korean Journal of Anesthesiology 2008;55(3):380-382.
DOI: https://doi.org/10.4097/kjae.2008.55.3.380   
Anaphylaxis by atracurium on a cardiac surgery patient: A case report.
Jae Kwang Kim, Yun Seok Jeon, Deok Mann Hong, Tae Wan Lim, Jae Hyon Bahk, Hyuk Ahn
1Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea. jeonyunseok@gmail.com
2Department of Thoracic Surgery and Cardiovascular Surgery, Seoul National University College of Medicine, Seoul, Korea.
Effective treatment of hypotension during induction of general anesthesia depends onhow well the many causes of the hypotension are understood. However, differential diagnosis of hypotension is by no means easy, especially when the prevalenceof hypotension is low or when the patient is asymptomatic. A 75 year-old female, upon induction of general anesthesia for open thoracic surgery, became hypotensive and showed generalized erythematous papules, therefore having to postpone the surgery. Upon further evaluation through skin prick tests, the hypotensive event was concluded to be caused by anaphylactic side effects of atracurium. Hence, atracurium was avoided and the surgery was successfully performed.
Key Words: anaphylactoid reaction; anaphylaxis; atracurium


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