Abstract
Methods During general anaesthesia exposure to a number of different agents is common. In addition, anti-inflammatory drugs, antiemetics, antacids, antibiotics and analgesics may be used, and all may elicit reactions. Follow up is recommended to include serum tryptase, specific IgE, skin prick test (SPT), intradermal tests (IDT), basophil activation test (BAT) and provocations. We present a case of severe anaphylaxis in an 11-year-old boy during hand surgery with rhinitis at exposure to pollen and pets only.
Highlights
Perioperative allergic reactions in children are rare
Investigations should ideally follow standardized protocol and include all drugs and substances used, since it is not possible to guess the causative agent. The aim of this case report is to increase awareness of agents used in relation to anesthesia and to show possible pathways for the identification of the causative agent
Chlorhexidine was applied to his arm and anaesthesia was induced with propofol and fentanyl
Summary
Perioperative allergic reactions in children are rare. Investigations should ideally follow standardized protocol and include all drugs and substances used, since it is not possible to guess the causative agent. The aim of this case report is to increase awareness of agents used in relation to anesthesia and to show possible pathways for the identification of the causative agent
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