Histaminoid reactions associated with rocuronium

Br J Anaesth. 2000 Jan;84(1):108-11. doi: 10.1093/oxfordjournals.bja.a013365.

Abstract

We describe three histaminoid reactions occurring on induction of anaesthesia. The patients were all resuscitated successfully and subsequent skin testing suggested sensitivity to rocuronium. In this hospital, the incidence of such reactions is of the order of 1 in 3000. This may be coincidental but suggests that there should be close monitoring of the incidence of reactions to rocuronium. Review of the cases suggests that current guidelines on management are not always followed.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anaphylaxis / chemically induced*
  • Anaphylaxis / therapy
  • Androstanols / adverse effects*
  • Female
  • Humans
  • Intraoperative Complications / chemically induced*
  • Intraoperative Complications / therapy
  • Male
  • Middle Aged
  • Neuromuscular Nondepolarizing Agents / adverse effects*
  • Rocuronium

Substances

  • Androstanols
  • Neuromuscular Nondepolarizing Agents
  • Rocuronium