title: [Anaphylactoid reaction to a non-ionic roentgen contrast medium in general anesthesia].
abstract: The occurrence of adverse reactions is decreasing since the introduction of non-ionic contrast media. Anaphylactoid reactions during general anaesthesia are rare and hitherto only documented with the administration of ionic compounds. We report an episode of hypotension, tachycardia, bronchospasm and urticaria following application of a non-ionic contrast medium (Iopamidol) during isoflurane anaesthesia. We conclude that a combinent use of anaesthesia and non-ionic contrast media does not guaranty protection from anaphylactoid reactions to iodinated radiopaque compounds.
authors.affiliation: Klinik für Anästhesiologie, Johannes Gutenberg-Universität Mainz.
authors.forename: G
authors.initials: G
authors.lastname: Wisser
authors.forename: B
authors.initials: B
authors.lastname: Wangemann
authors.forename: J P
authors.initials: JP
authors.lastname: Jantzen
authors.forename: W
authors.initials: W
authors.lastname: Dick
mesh_terms: D000293:Adolescent; D000707:Anaphylaxis / Q000139:chemically induced*; D000768:Anesthesia, General; D001986:Bronchial Spasm / Q000139:chemically induced; D002557:Cerebrospinal Fluid Shunts; D005260:Female; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D006849:Hydrocephalus / Q000000981:diagnostic imaging / Q000601:surgery*; D007431:Intraoperative Complications / Q000209:etiology*; D007479:Iopamidol / Q000009:adverse effects*; D007530:Isoflurane / Q000009:adverse effects; D011859:Radiography
chemical_list: D007530:Isoflurane; D007479:Iopamidol
vernacular_title: Anaphylaktoide Reaktion auf ein nichtionisches Röntgenkontrastmittel in Allgemeinansthesie.