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Anaphylactic reaction following reversal of nondepolarizing muscle relaxant during general anesthesia: a case report

Authors Choi E, Kim S

Received 25 May 2017

Accepted for publication 20 June 2017

Published 8 August 2017 Volume 2017:10 Pages 271—274

DOI https://doi.org/10.2147/IMCRJ.S142597

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Lucy Goodman

Peer reviewer comments 2

Editor who approved publication: Professor Ronald Prineas


Eunkyung Choi,1 Saeyoung Kim2

1Department of Anesthesiology and Pain Medicine, College of Medicine, Yeungnam University, Daegu, Republic of Korea; 2Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea

Abstract: An anaphylactic reaction during general anesthesia may cause fatal complications. Perioperative anaphylaxis can occur in response to different medications. To our knowledge, pyridostigmine or combination of pyridostigmine with glycopyrrolate-induced anaphylactic reaction during general anesthesia has not been reported. We report a case of a suspected anaphylactic reaction to these drugs. To reduce the risk of complicated perioperative anaphylactic events, prompt assessment and treatment are needed. Moreover, any undesirable exposure to confirmed allergens should be avoided as part of secondary prevention.

Keywords: anaphylaxis, emergency treatment, glycopyrrolate, pyridostigmine bromide

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