Refractory anaphylactic cardiac arrest after succinylcholine administration.

Anesth Analg

Département d'Anesthésie-Réanimation, Hôpital Central, Centre Hospitalier Universitaire, 29, avenue du Maréchal de Lattre de Tassigny, 54000 Nancy, France.

Published: July 2009

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.

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http://dx.doi.org/10.1213/ane.0b013e3181a775b2DOI Listing

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