Rocuronium bromide induced anaphylaxis in a child -A case report-

Abstract

Anaphylaxis or anaphylactoid reaction in pediatric patient during anesthesia is rare. We report a rocuronium induced anaphylactic reaction in a 33-month-old female. The patient was scheduled to undergo escharectomy due to injuries suffered from a major burn. Shortly after administration of rocuronium, the patient developed severe hypotension, tachycardia, and hypoxia. A similar reaction occurred after administration of rocuronium on subsequent anesthesia. She underwent uneventful anesthesia with volatile induction and maintenance of anesthesia with sevoflurane on her next 7 operations without using of muscle relaxant.

Suspected Anaphylactic Shock Associated with Rocuronium in an Infant: A Case Report

“…Several epidemiological studies and case reports about rocuronium and anaphylaxis have been reported up until today [4]- [7]. However, rocuronium-induced anaphylaxis in infants must be very rare because we cannot easily find it in the public databases.…”

Airway anesthesia with lidocaine for general anesthesia without using neuromuscular blocking agents in a patient with a history of anaphylaxis to rocuronium: a case report

“…Perioperative anaphylactic reaction is a rare but life-threatening complication [1][2][3][4][5]. Nearly all kinds of medications and substances used in anesthesia and surgery can cause anaphylaxis, including hypnotic opioids, local anesthetics, colloids, dyes, antibiotics, neuromuscular blocking agents (NMBAs), disinfectants, and latex [4].…”