Anaphylaxis to cisatracurium following negative skin testing.

General anaesthesia for the patient with a history of anaesthesia-related anaphylaxis is challenging. Precautions against anaphylaxis and the use of skin test negative drugs can reduce but not eliminate the risk. In the majority of such cases, subsequent anaesthesia is uneventful. However, the absence of a clearly identified triggering agent increases the difficulties facing the anaesthetist. We present a case of anaphylaxis to cisatracurium following a negative skin test.

[1]  B. Thong,et al.  Anaphylaxis during surgical and interventional procedures. , 2004, Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology.

[2]  Manohar Sharma,et al.  Influence of Chronic Phenytoin Administration on the Pharmacokinetics and Pharmacodynamics of Vecuronium , 2004, Anesthesiology.

[3]  D. Hepner,et al.  Anaphylaxis During the Perioperative Period , 2003, Anesthesia and analgesia.

[4]  F. Alla,et al.  Anaphylactic and Anaphylactoid Reactions Occurring during Anesthesia in France in 1999–2000 , 2003, Anesthesiology.

[5]  M. Laxenaire,et al.  Allergic reactions occurring during anaesthesia. , 2002, European journal of anaesthesiology.

[6]  N. Hunzelmann,et al.  Anaphylactoid Reactions After Cisatracurium Administration in Six Patients , 2001, Anesthesia and analgesia.

[7]  M. Fisher,et al.  Rocuronium: high risk for anaphylaxis? , 2001, British journal of anaesthesia.

[8]  P. Carli,et al.  Severe anaphylactic reaction to cisatracurium in a child. , 2001, Anesthesia and analgesia.

[9]  G. Briassoulis,et al.  Persistent anaphylactic reaction after induction with thiopentone and cisatracurium , 2000, Paediatric anaesthesia.

[10]  K. Scharffetter-Kochanek,et al.  Immediate‐type reactions to cisatracurium , 1999, Allergy.

[11]  M. Fisher.  Cisatracurium and Atracurium as Antigens , 1999, Anaesthesia and intensive care.

[12]  B. Baldo,et al.  Failure to prevent an anaphylactic reaction to a second neuromuscular blocking drug during anaesthesia. , 1999, British journal of anaesthesia.

[13]  S. Deacock,et al.  Severe anaphylactic reaction to cisatracurium. , 1999, Anesthesia and analgesia.

[14]  M. Laxenaire,et al.  Anaesthesia for the allergic patient. , 1998, Current opinion in anaesthesiology.

[15]  R. Wharen,et al.  Anaphylactic Reaction after Cisatracurium , 1997 .

[16]  T. Taivainen,et al.  Cisatracurium during halothane and balanced anaesthesia in children , 1996, Paediatric anaesthesia.

[17]  J. Savarese,et al.  Comparative Pharmacology of Cisatracurium (51W89), Atracurium, and Five Isomers in Cats , 1996, Anesthesiology.

[18]  J. Dahl.  Antihistamine prophylaxis and general anaesthesia , 1994, The Lancet.

[19]  C. Ohmann,et al.  Incidence and clinical importance of perioperative histamine release: randomised study of volume loading and antihistamines after induction of anaesthesia , 1994, The Lancet.

[20]  W. J. Russell,et al.  Clinical Anaphylaxis: An Analysis of 2000 Incident Reports , 1993, Anaesthesia and intensive care.

[21]  B. Baldo,et al.  The incidence and clinical features of anaphylactic reactions during anaesthesia in Australia , 1993 .

[22]  D. Galletly,et al.  Anaphylactoid reactions during anaesthesia , 1985, Anaesthesia.