This case highlights the rare occurrence of rocuronium-induced anaphylaxis in a very young pediatric patient, emphasizing the need for vigilance during anesthesia.
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Rocuronium anaphylaxis warrants consideration in unstable pediatric cases; extends sparse reports but leaves open incidence and risk data.
Anaphylaxis or anaphylactoid reaction in pediatric patient during anesthesia is rare. We report a rocuronium induced anaphylactic reaction in a 33-month-old female. The patient was scheduled to undergo escharectomy due to injuries suffered from a major burn. Shortly after administration of rocuronium, the patient developed severe hypotension, tachycardia, and hypoxia. A similar reaction occurred after administration of rocuronium on subsequent anesthesia. She underwent uneventful anesthesia with volatile induction and maintenance of anesthesia with sevoflurane on her next 7 operations without using of muscle relaxant.
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Jang et al. (2010) studied this question.
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