[Anesthesia for a patient with polyarteritis nodosa who has a history of multiple drug allergies].
There has been little information about anesthesia for a patient with a history of multiple drug allergies. We gave anesthesia for a 32-year-old woman with polyarteritis nodosa and history of multiple drug allergies. She was scheduled to undergo bilateral tonsilectomy. We could not perform the preoperative screening of the drugs using a dermal test because of a high risk of anaphylactic shock. Anesthesia was induced with sevoflurane and nitrous oxide and maintained with sevoflurane, nitrous oxide, and fentanyl. The intra- and postoperative course was uneventful. It is important to inquire history of allergies adequately for preoperative recognition of allergens. General anesthesia with sevoflurane would be useful for a patient with history of multiple drug allergies.
Terada
Tadanori
T
Department of Anesthesiology, University of Occupational and Environmental Health, School of Medicine, Kitakyushu.
Minami
Kouichiro
K
Shiraishi
Munehiro
M
Horishita
Takafumi
T
Sata
Takeyoshi
T
D000328:Adult; D000768:Anesthesia, General / Q000379:methods*; D004342:Drug Hypersensitivity / Q000150:complications*; D005260:Female; D006801:Humans; D010488:Polyarteritis Nodosa / Q000150:complications*; D014068:Tonsillectomy