ID | 57721 |
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Author |
Kubo, Asuka
Department of anesthesiology, National Hospital Organization Iwakuni Clinical Center
Shimizu, Kazuyoshi
Department of Anesthesiology and Resuscitology, Okayama University Hospital
Kuroda, Kosuke
Department of Anesthesiology and Resuscitology, Okayama University Hospital
Kanazawa, Tomoyuki
Department of Anesthesiology and Resuscitology, Okayama University Hospital
Kobayashi, Motomu
Department of Anesthesiology and Resuscitology, Okayama University Hospital
Kaken ID
publons
Morimatsu, Hiroshi
Department of Anesthesiology and Resuscitology, Okayama University Hospital
ORCID
Kaken ID
publons
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Abstract | We here report that a 71-year-old Japanese woman with a history of anaphylaxis induced by muscle relaxants had local anesthetic systemic toxicity (LAST) following an abdominal surgery under general anesthesia with combined spinal-epidural anesthesia without muscle relaxants. The total dosages of local anesthetics reached 0.67 mg/kg of ropivacaine and 11.5 mg/kg of lidocaine over 12.5 h to obtain sufficient muscle relaxation for surgery. Regional anesthesia is useful in cases in which muscle relaxants are to be avoided during a surgery. However, especially for a patient with risk factors and prolonged surgery, precautions should be taken to prevent LAST.
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Keywords | muscle relaxant-induced anaphylaxis
local anesthetic systemic toxicity
epidural anesthesia
abdominal surgery
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Amo Type | Case Report
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Publication Title |
Acta Medica Okayama
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Published Date | 2019-12
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Volume | volume73
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Issue | issue6
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Publisher | Okayama University Medical School
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Start Page | 543
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End Page | 546
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ISSN | 0386-300X
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NCID | AA00508441
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Content Type |
Journal Article
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language |
English
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Copyright Holders | CopyrightⒸ 2019 by Okayama University Medical School
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File Version | publisher
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Refereed |
True
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