Bronchospasme sévère au Diprivan® chez un enfant allergique à l’arachide et au pollen de bouleau

Fontaine, Mathieu; Dubost, J.; Bienvenu, F.; Dubost, R. Ferrenq; Proton, G.; Piriou, Vincent

doi:10.1016/j.annfar.2010.11.020

Cited by 6 publications

(1 citation statement)

References 12 publications

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“…Some cases of allergic reactions to propofol have been published in which patients were not known to have food allergies [9][10][11][12]. There are also some publications with suspected reactions to propofol in subjects allergic to egg, soy, or peanut [13][14][15][16][17][18]. However, many of these studies have limitations.…”

Section: Introductionmentioning

confidence: 99%

Do cross-food allergies to propofol exist?

Ramírez¹,

Domingo

Font³

et al. 2022

Anesth Pain Med

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Background: Propofol is a short and rapidly acting intravenous anesthetic extensively used for the induction and maintenance of general anesthesia. It is a lipid emulsion that contains soybean oil, purified egg phosphatide, and egg lecithin. Therefore, the package leaflet indicates that its administration is contraindicated in patients allergic to soy, eggs, or peanuts. Our study aimed to determine whether patients with proven food allergies are allergic to propofol. Methods: Patients of all ages allergic to soy, eggs, or peanuts who agreed to undergo skin testing for propofol allergies were included. The subjects first underwent a skin test to confirm food allergies. If candidates were negative, they were excluded. If the result was positive, a propofol skin test was performed.Results: Sixty-four patients with confirmed food allergies underwent a propofol skin test. Only one was positive in the propofol skin test (1.6%). The patient was allergic to peanuts and soybeans. These results reinforce the idea that there is no justification for avoiding propofol use in these subjects. Conclusions: Propofol can be safely administered to patients allergic to soy, eggs, or peanuts. We recommend caution in patients with a history of anaphylaxis after ingestion of the above-mentioned foods.

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