title: Anaphylaxis from atracurium without skin manifestation.
abstract: Anaphylaxis is an acute, potentially fatal allergic reaction involving multi organ system that is triggered by a wide range of antigens with a subsequent release of chemical mediators from mast cells and basophils. Diagnosis is primarily clinical though laboratory studies are helpful in further confirmation. Anaphylactic reactions during anesthesia are rare, but can be fatal if not promptly recognized and treated. Among all drugs commonly used in anesthesia, muscle relaxants are the most notorious to trigger anaphylactic reactions and benzylisoquinolinium group of drugs are known to be less common an offender than the steroidal compounds. We report severe anaphylactic reaction after administration of atracurium that was promptly diagnosed and managed without any further morbidity.
authors.affiliation: Department of Anaesthesiology and Intensive Care, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Souvik
authors.initials: S
authors.lastname: Maitra
authors.affiliation: Department of Anaesthesiology and Intensive Care, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Suvadeep
authors.initials: S
authors.lastname: Sen
authors.affiliation: Department of Anaesthesiolgy, Institute of Post-Graduate Medical Education and Research, Kolkata, West Bengal, India.
authors.forename: Sudeshna Bhar
authors.initials: SB
authors.lastname: Kundu
authors.affiliation: Department of Anaesthesiolgy, Institute of Post-Graduate Medical Education and Research, Kolkata, West Bengal, India.
authors.forename: Sugata
authors.initials: S
authors.lastname: Pal
keywords: Anaphylaxis; atracurium; intra-operative