Airway anesthesia with lidocaine for general anesthesia without using neuromuscular blocking agents in a patient with a history of anaphylaxis to rocuronium: a case report
지성미, 송재격, 최건화,
소속 상세정보
지성미 ( Ji Sung-Mi ) - Dankook University College of Medicine Department of Anesthesiology and Pain Medicine
송재격 ( Song Jae-Gyok ) - Dankook University College of Medicine Department of Anesthesiology and Pain Medicine
최건화 ( Choi Gun-Hwa ) - Dankook University College of Medicine Department of Anesthesiology and Pain Medicine
Abstract
We experienced a case of induction of general anesthesia without using neuromuscular blocking agents (NMBAs) in a 40-year-old woman with a history of anaphylaxis immediately after the administration of anesthetics lidocaine, propofol, and rocuronium to perform endoscopic sinus surgery 2 years before. The skin test showed a positive reaction to rocuronium and cis-atracurium. We induced general anesthesia without using NMBAs after inducing airway anesthesia with lidocaine (transtracheal injection and superior laryngeal nerve block). Deep general anesthesia was maintained with end-tidal 4 vol% sevoflurane. Hypotension was treated with phenylephrine infusion. The operation condition was excellent, and patient recovered without complications after surgery. Airway anesthesia with local anesthetics may be helpful when we cannot use NMBAs for any reason, including hypersensitivity to NMBA and surgery that needs neuromuscular monitoring.
키워드
Anaphylaxis; Hypersensitivity; Neuromuscular Blocking Agents; Rocuronium
원문 및 링크아웃 정보
등재저널 정보