Refractory anaphylactic cardiac arrest after succinylcholine administration.
Refractory shock from anaphylaxis can occur after induction of general anesthesia. We report two cases of fatal cardiac arrest with increased blood tryptase and immunoglobulin E values after succinylcholine administration. Tryptase and immunoglobulin E assays may help to identify anaphylactic reactions when cardiac arrest occurs at induction of anesthesia.
Baumann
Antoine
A
Département d'Anesthésie-Réanimation, Hôpital Central, Centre Hospitalier Universitaire, 29, avenue du Maréchal de Lattre de Tassigny, 54000 Nancy, France. a.baumann@chu-nancy.fr
Studnicska
Daniela
D
Audibert
Gérard
G
Bondar
Attila
A
Fuhrer
Yannick
Y
Carteaux
Jean-Pierre
JP
Mertes
Paul M
PM
D000368:Aged; D000707:Anaphylaxis / Q000139:chemically induced* / Q000150:complications / Q000175:diagnosis; D017809:Fatal Outcome; D005260:Female; D006323:Heart Arrest / Q000139:chemically induced* / Q000150:complications / Q000175:diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D013390:Succinylcholine / Q000009:adverse effects*
D013390:Succinylcholine