An Anesthesiologist with an Allergy to Multiple Neuromuscular Blocking Drugs
vibha naik
Consultant Anesthesiologist,
Smile Train Project,
Nizams Institute of Medical Sciences,
Hyderabad, India.
E-mail: vib...@yahoo.co.in
Mobile: +91 9959189958
From: Mahesh <sinha...@yahoo.com>
To: smilean...@yahoogroups.com
Sent: Tue, 9 March, 2010 10:21:27 PM
Subject: [smileanesthesia] An Anesthesiologist with an Allergy to Multiple Neuromuscular Blocking Drugs: A
Matthew J. Newman, MBBS, FANZCA*, and Pooja Goel, MBBS
From the *Department of Women's Anaesthesia, Women's and Children's Hospital, North Adelaide; and Royal Adelaide Hospital, Adelaide, SA, Australia.
Address correspondence to Matthew J. Newman, MBBS, FANZCA, Department of Women's Anaesthesia, Women's and Children's Hospital, North Adelaide, SA 5006, Australia. Address e-mail to matthew.newman@ health.sa. gov.au.
We report a case of a final-year anesthesiology trainee who developed a severe allergic reaction to cutaneous exposure of succinylcholine. Intradermal testing was strongly positive to succinylcholine and all the aminosteroid neuromuscular blocking drugs (NMBDs). Specific immunoglobulin E to succinylcholine was also strongly positive. This unusual case of an anesthesiologist acquiring an allergy to an NMBD through occupational exposure has a significant effect on his practice of anesthesia. However, by avoiding operating rooms with a high usage of NMBDs and by wearing personal protective equipment, the anesthesiologist has worked in clinical anesthesia without incident.
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