Anaphylaxis after Induction of General Anesthesia for Cesarian Section : A case report

Bang, Eun Chi; Kang, Yong In; Kim, Su Yeon; Cho, Kyung Sook; Lee, Hyun Sook

Case Report

Obstetric Anesthesia

Anesthesia and Pain Medicine 2008;3(2):145-148.
Published online April 30, 2008.

Anaphylaxis after Induction of General Anesthesia for Cesarian Section : A case report

Eun Chi Bang, Yong In Kang, Su Yeon Kim, Kyung Sook Cho, Hyun Sook Lee

Department of Anesthesiology and Pain Medicine, College of Medicine, Pocheon CHA University, Seoul, Korea. ecbang63@hanmail.net

Abstract

A 35 year old multipara woman was admitted for emergency repeat cesarian section. She had first cesarian section under general anesthesia 3 years ago, and appendectomy under spinal anesthesia 2 years ago. But no uneventful problem developed in two cases of anesthesia. After induction of general anesthesia with propofol and succinylcholine, the patient showed irritability and severe cough, and immediate anaphylactic reaction developed with cardiovascular collapse, bronchospasm, and erythematous skin eruption. We resuscitated the patient with epinephrine and methylprednisolone but cesarian section was performed without delay. Four minutes after the induction of anesthesia female baby was delivered and the patient was recovered without any complication.

Key Words: anaphylaxis, cesarian section, propofol, succinylcholine