000			02092nam a22002537a 4500
999			_c7975 _d7975
001			ANES 2011 0002
003			PILC
005			20240720152608.0
008			160505b2011 xxu||||| |||| 00| 0 eng d
040			_beng _cFEU-NRMF MEDICAL LIBRARY _erda
041			_aenglish
050			_aANES 2011 0002
245			_aSuspected rocuronium anaphylaxis : _ba case report / _cRodolfo DR. Astrologio.
260			_aFairview, Quezon City: _bDepartment of Anesthesiology, FEU-NRMF, _c2011.
300			_btables; _c(in folder)
336			_atext _2rdacontent
337			_aunmediated _2rdamedia
338			_avolume _2rdacarrier
504			_aIncludes bibliographical references and appendices
520			_aAbstract: Anaphylaxis during anesthesia is a rare event which can have dramatic and unpredictable consequences. In 60-70% of cases. It is secondary to neuromuscular blocking agents (NMBAs). The worst manifestations include cardiovascular collapse, brochospasm and laryngeal edema. The overall incidence of perioperative anaphylaxis is estimated at 1 in 10,000-20,000 anesthetic procedures, whereas it is estimated at 1 in 6,500 administrations of NMBAs. Correct management of anaphylaxis during anesthesia requires a multidisciplinary approach with prompt recognition and treatment of the acute event by the attending anesthesiologist. Presented is a case of a 43 year old male who underwent Emergency Exploratory Laparotomy under general anesthesia. The patient had no history of allergies and had never undergone general anesthesia before. After the patient was induced and intubated, he was given Rocuronium for muscle relaxation. Approximately ten minutes after rocuronium administration, tachycardia, O2 desaturation and hypotension were noted. The patient was then given Ephedrine and hyrodcostisone and was shifted to Atracurium after a few more episodes of hypoxia and tachycardia upon administration of Rocuronium. After the patient was stabiilized, surgery resumed without complications.
521			_aRESDA
700			_aAstrologio, Rodolfo DR., MD. _eauthor
942			_2lcc _cRU