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[Anesthesia for a patient with polyarteritis nodosa who has a history of multiple drug allergies]

AbstractThere has been little information about anesthesia for a patient with a history of multiple drug allergies. We gave anesthesia for a 32-year-old woman with polyarteritis nodosa and history of multiple drug allergies. She was scheduled to undergo bilateral tonsilectomy. We could not perform the preoperative screening of the drugs using a dermal test because of a high risk of anaphylactic shock. Anesthesia was induced with sevoflurane and nitrous oxide and maintained with sevoflurane, nitrous oxide, and fentanyl. The intra- and postoperative course was uneventful. It is important to inquire history of allergies adequately for preoperative recognition of allergens. General anesthesia with sevoflurane would be useful for a patient with history of multiple drug allergies.
AuthorsTadanori Terada, Kouichiro Minami, Munehiro Shiraishi, Takafumi Horishita, Takeyoshi Sata (Affiliation: Department of Anesthesiology, University of Occupational and Environmental Health, School of Medicine, Kitakyushu.)
JournalMasui. The Japanese journal of anesthesiology (Masui) Vol. 55 Issue 12 Pg. 1484-6 (Dec 2006) ISSN: 0021-4892 Japan
PMID17190321 (Publication Type: Case Reports, English Abstract, Journal Article)
Topics
  • Adult
  • Anesthesia, General (methods)
  • Drug Hypersensitivity (complications)
  • Female
  • Humans
  • Polyarteritis Nodosa (complications)
  • Tonsillectomy