title: [Management of sevoflurane anesthesia for a patient with multiple drug allergies].
abstract: There have been several reports on anesthesia for a patient with a history of multiple drug allergies. We present here anesthesia for a 33-year-old woman with histories of multiple drug allergies. She was scheduled to undergo total abdominal hysterectomy. We could not perform preoperative screening of the drugs using a dermal test because of a high risk of anaphylactic shock. Anesthesia was induced and maintained with sevoflurane and nitric oxide. The operation was finished without complications and her postoperative course was uneventful. It is important preoperatively to obtain histories of allergies adequately for recognition of allergens.
authors.affiliation: Department of Anesthesiology, University of Occupational and Environmental Health, School of Medicine, Kitakyushu 807-8555.
authors.forename: Motohiro
authors.initials: M
authors.lastname: Nakamura
authors.forename: Kouichiro
authors.initials: K
authors.lastname: Minami
authors.forename: Koji
authors.initials: K
authors.lastname: Hara
authors.forename: Takeyoshi
authors.initials: T
authors.lastname: Sata
mesh_terms: D000328:Adult; D000707:Anaphylaxis / Q000517:prevention & control; D000769:Anesthesia, Inhalation; D018685:Anesthetics, Inhalation; D004342:Drug Hypersensitivity / Q000175:diagnosis / Q000209:etiology; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008487:Medical History Taking; D008738:Methyl Ethers; D009569:Nitric Oxide; D012306:Risk; D000077149:Sevoflurane
chemical_list: D018685:Anesthetics, Inhalation; D008738:Methyl Ethers; D009569:Nitric Oxide; D000077149:Sevoflurane