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Case Reports
[Case of anesthesia for laparoscopic cholecystectomy in a patient with a history of frequent anaphylaxis].
- Yufuko Yamagata, Tamie Takenami, Masanori Koto, Hiromi Matsuda, Hisae Saito, and Hirotsugu Okamoto.
- Department of Anesthesiology, Kitasato University School of Medicine, Sagamihara 228-8555.
- Masui. 2011 Feb 1;60(2):224-6.
AbstractIdiopathic anaphylaxis is a rare disease that induces anaphylactic shock without extrinsic incentive. We had a patient with such frequent episodes undergoing laparoscopic cholecystectomy. Steroid was administered both at preoperative and intraoperative periods. Epidural anesthesia and general anesthesia by inhalation anesthesia, which are low risk for anaphylaxis, were used to reduce perioperative stress and restricted usage of drugs even in postoperative period. Consequently, we can safety manage anesthesia without episode of anaphylactic shock. To prepare for anaphylaxis we prepared usual therapeutic drugs for shock and measured serum tryptase, which has longer half-life than that of histamine.
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