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Vol. 63 Br. 1 (2024)

UBLAŽENA ANAFILAKTIČKA REAKCIJA NA MIŠIĆNE RELAKSANTE USLED PREOPERATIVNE PRIPREME KORITKOSTEROIDIMA

dr Danica Marković
Klinika za anesteziologiju i intenzivnu terapiju, Klinički centar u Nišu
Prof. dr Vesna Marjanović
Klinika za anesteziju i intenzivnu terapiju, Univerzitetski klinički centar u Nišu
dr Natalija Vuković
Klinika za anesteziju i intenzivnu terapiju, Univerzitetski klinički centar u Nišu
Mladjan Golubović
Klinika za anesteziju i intenzivnu terapiju, Univerzitetski klinički centar u Nišu
Jelena Milenković
Katedra za patološku fiziologiju, Medicinski fakultet, Univerzitet u Nišu
dr Toma Kovačević
Klinika za otorinolaringologiju, Univerzitetski klinički centar u Nišu
Prof. dr Milan Stanković
Klinika za otorinolaringologiju, Univerzitetski klinički centar u Nišu
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2024-04-09

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Prikaz bolesnika

Kako citirati

1.
Marković D, Marjanović V, Vuković N, Golubović M, Milenković J, Kovačević T, i drugi. UBLAŽENA ANAFILAKTIČKA REAKCIJA NA MIŠIĆNE RELAKSANTE USLED PREOPERATIVNE PRIPREME KORITKOSTEROIDIMA. АММ [Internet]. 09. April 2024. [citirano 20. Septembar 2026.];63(1). Dostupno na: https://test.aseestant.ceon.rs/index.php/amm/article/view/46055
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Sažetak

Anafilaksa tokom anestezije predstavlja redak događaj u kliničkoj praksi, koji može dovesti i do smrtnog ishoda. Prikazan je slučaj bolesnice bez prethodne istorije alergijskih reakcija izazvanih rokuronijumom. Ubrzo nakon primene rokuronijuma, došlo je do pojave tahikardije, niskog krvnog pritiska i bronhospazma. Urtikarija i periferni simptomi su izostali, najverovatnije usled prethodne premedikacije kortikosteroidima. U praksi, situacije poput ove mogu biti fatalne ukoliko se ne prepoznaju i ne tretiraju pravovremeno.

Ključne reči

anafilaksa, preosetljivost na lekove, hipersenzitivnost, neuromišićni agensi, perioperativni period, rokuronijum-bromid

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