Koul Archna, Jain Rashmi, Sood Jayashree
Departments of Anaesthesiology, Pain and Perioperative Medicine, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, India.
Indian J Anaesth. 2011 Sep;55(5):530-3. doi: 10.4103/0019-5049.89898.
Although propofol is one of the most commonly used drugs for induction of anaesthesia, it is not devoid of anaphylactic potential. Early detection of any suspected anaphylactic reaction during anaesthesia, prompt management, identification of the offending agent and prevention of exposure to the offending agent in the future is the responsibility of the anaesthesiologist. This is a case report of anaphylaxis to propofol at the induction of anaesthesia in a previously non-allergic 56 year-old man, planned to undergo laparoscopic nephrectomy, who responded to epinephrine infusion.
尽管丙泊酚是最常用于诱导麻醉的药物之一,但它并非没有过敏的可能性。麻醉期间早期发现任何疑似过敏反应、及时处理、识别致病因素并预防未来接触致病因素是麻醉医生的职责。本文报告一例56岁既往无过敏史的男性患者,计划行腹腔镜肾切除术,在麻醉诱导时发生丙泊酚过敏反应,经肾上腺素输注后症状缓解。