Abstract
A 32-year-old female was admitted for a minor elective surgical procedure. Her past history included at least six uneventful general anaesthetics. Anaphylaxis developed shortly following induction of anaesthesia with thiopentone, Innovar and gallamine. Resuscitation was successful but was complicated by ventricular fibrillation. Full recovery followed. Subsequent allergy skin tests revealed hypersensivity to thiopentone. Recommendations for investigation of suspected hypersensitivity to anaesthetic agents are included, as are guidelines for the recognition and treatment of anaphylaxis.
Résumé
Une patiente de 32 ans est hospitalisée pour une intervention chirurgicale mineure. Ses antécédents nous apprennent qu’elle a eu six anesthésies antérieures sans particularité. Une réaction anaphylactique s’est développée rapidement après l’induction faite avec du thiopentone, de la gallamine et de l’innovar. La réanimation fut efficace et la patiente récupéra parfaitement malgré l’pisode de fribrillation ventriculaire qui accompagna l’incident. Des tests cutanés d’allergie out démontré une hypersensibilité au thiopentone. Des recommandations pour l’investigation d’une hypersensibilité suspectée aux agents anesthésiques et un guide de détection et de traitement de l’anaphylaxie sont inclus.
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Westacott, P., Ramachandran, P.R. & Jancelewicz, Z. Anaphylactic reaction to thiopentone: a case report. Can Anaesth Soc J 31, 434–438 (1984). https://doi.org/10.1007/BF03015420
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DOI: https://doi.org/10.1007/BF03015420