Downloads: 3 | Views: 172 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1
Case Studies | Anaesthesiology | India | Volume 13 Issue 9, September 2024 | Rating: 4.5 / 10
Perioperative Anaphylaxis After Succinylcholine Use: A Case Report and Management Insights
Dr. Amoolya R N, Dr. Uthkala B Hegde, Dr. Haripriya Ramachandran, Dr. Prasad K Kulkarni
Abstract: We report a case of perioperative anaphylaxis in a 18-year-old male patient who underwent general anesthesia for facial laceration repair. After intubation with succinylcholine, the patient experienced cardiac arrest, which was promptly managed with CPR and adrenaline. Pulmonary edema was suspected, and inotropic support, diuretics, and corticosteroids were administered. The patient was transferred to the ICU and showed improvement the following day, allowing for extubation and weaning off inotropic support. This case highlights the rapid onset and severity of perioperative anaphylaxis, which can be fatal even in healthy patients. Diagnosis relies on clinical, biochemical, and skin test evidence to identify the culprit agent and prevent future reactions. Succinylcholine is a known allergen, and this case underscores the importance of vigilance and prompt management in perioperative settings.
Keywords: Perioperative anaphylaxis, succinylcholine allergy, cardiac arrest, anesthesia complications, emergency management
Edition: Volume 13 Issue 9, September 2024,
Pages: 310 - 311