Anaphylactic Shock Induced by Muscle Relaxants:A Case Report and Analysis
Objective To investigate the treatment process and its standardization for a patient with suspected anaphylactic shock induced by cisatracurium besilate in a stomatological hospital.Methods A retrospective analysis was conducted on the patient's treatment process.Based on the adverse drug reaction(ADR)association evaluation criteria in the Adverse Drug Reaction Reporting and Monitoring Management Measures,the association between anaphylactic shock and cisatracurium besilate was evaluated,and standardized measures for rescuing anaphylactic shock were summarized.Results After correlation evaluation,it was considered that the allergic shock was induced by cisatracurium besilate.After experiencing anaphylactic shock,the patient was immediately treated with rescue measures such as oxygen inhalation,fluid replacement,injection of adrenaline and hydrocortisone.The patient's blood pressure gradually returned to normal,and the surgery continued on the same day.The surgery went smoothly and the patient was discharged 3 d after surgery without any discomfort during the follow-up period.Conclusion Medical staff should attach great importance to perioperative anesthesia medication to avoid the occurrence of anaphylactic shock.Measures such as improving the selection of muscle relaxants and rescue drugs,strengthening the monitoring of various vital signs of patients during the perioperative period,identifying and judging allergic reactions,and actively preparing for treatment can be taken to ensure the patient's medication safety.
cisatracurium besilateanaphylactic shockneuromuscular blocking agentstomatological hospitalpharmaceutical care
万方数据
维普
