Abstract
The AMJ is a peer-reviewed, triannual health journal published by Anuradhapura Clinical Society (ACS).The Journal strives to be a forum for all health professionals to publish original research and review articles in their area of expertise. The AMJ publishes articles in clinical medicine, public health and health promotion. Our priority is given to manuscripts on health related issues which affects the communities living in rural tropical communities. Established as a journal in 2006 as a publication parallel to ACS annual scientific sessions, the journal was relaunched as a proper journal in 2013. Anuradhapura Medical Journal is a member of COPE and is included on DOAJ.Cover Image: Computed tomography perfusion (CTP) brain image of a left-sided ischaemic stroke.The image shows time to peak (TTP) perfusion map of the brain with prolongation of TTP in hypoperfused regions of the left hemisphere identified as patchy areas highlighted in red.Dr. Hemal Senanayake
Highlights
Hypersensitivity reactions that might occur during anaesthesia, i.e., anaphylaxis and anaphylactoid reaction have been reported to have a variable degree of incidence
Of the drugs which are used for anaesthesia, muscle relaxants have the highest frequency of inducing anaphylaxis
We experienced a case in which anaphylaxis was strongly suspected based on hypotension, tachycardia and hypoxia due to the use of Rocuronium which was used for general anaesthesia
Summary
Hypersensitivity reactions that might occur during anaesthesia, i.e., anaphylaxis and anaphylactoid reaction have been reported to have a variable degree of incidence. Of the drugs which are used for anaesthesia, muscle relaxants have the highest frequency of inducing anaphylaxis. Substances such as latex or antibiotics can induce the occurrence of anaphylaxis. The occurrence of anaphylaxis due to anaesthetic agents has been frequently reported in men in their fifties and women in their forties. As described here, according to the increased use of rocuronium, not yet available in Sri Lanka, the occurrence of Rocuronium anaphylaxis has been reported to rise [1]
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