Anesthetic anaphylactic shock in an emergency cesarean section: a case report
Abstract Background Neuraxial anesthesia is the gold standard for cesarean sections, but general anesthesia is sometimes necessary, especially in emergency cases. Anaphylactic shock due to succinylcholine, a commonly used neuromuscular blocking agent, is rare but life-threatening. Case presentation...
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| Format: | Article |
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BMC
2024-12-01
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| Series: | BMC Anesthesiology |
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| Online Access: | https://doi.org/10.1186/s12871-024-02861-7 |
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| author | Qi Cao Shengping Zhou Hongqin Chen Rong Zhou |
| author_facet | Qi Cao Shengping Zhou Hongqin Chen Rong Zhou |
| author_sort | Qi Cao |
| collection | DOAJ |
| description | Abstract Background Neuraxial anesthesia is the gold standard for cesarean sections, but general anesthesia is sometimes necessary, especially in emergency cases. Anaphylactic shock due to succinylcholine, a commonly used neuromuscular blocking agent, is rare but life-threatening. Case presentation A 42-year-old woman with severe preeclampsia and a history of intracranial vascular malformations underwent an emergency cesarean section. Induction with succinylcholine triggered an anaphylactic shock. Immediate intervention with epinephrine and corticosteroids stabilized the patient, allowing the safe delivery of a live infant. Discussion and conclusion This case highlights the need for rapid identification and management of anaphylactic shock during emergency cesarean sections under general anesthesia, especially in high-risk patients with complex medical histories. |
| format | Article |
| id | doaj-art-9f88b559496b42df96d67be88681e07a |
| institution | Kabale University |
| issn | 1471-2253 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj-art-9f88b559496b42df96d67be88681e07a2024-12-22T12:43:54ZengBMCBMC Anesthesiology1471-22532024-12-012411410.1186/s12871-024-02861-7Anesthetic anaphylactic shock in an emergency cesarean section: a case reportQi Cao0Shengping Zhou1Hongqin Chen2Rong Zhou3Department of Obstetrics and Gynecology, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), West China Second University Hospital, Sichuan UniversityDepartment of Obstetrics and Gynecology, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), West China Second University Hospital, Sichuan UniversityDepartment of Obstetrics and Gynecology, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), West China Second University Hospital, Sichuan UniversityDepartment of Obstetrics and Gynecology, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), West China Second University Hospital, Sichuan UniversityAbstract Background Neuraxial anesthesia is the gold standard for cesarean sections, but general anesthesia is sometimes necessary, especially in emergency cases. Anaphylactic shock due to succinylcholine, a commonly used neuromuscular blocking agent, is rare but life-threatening. Case presentation A 42-year-old woman with severe preeclampsia and a history of intracranial vascular malformations underwent an emergency cesarean section. Induction with succinylcholine triggered an anaphylactic shock. Immediate intervention with epinephrine and corticosteroids stabilized the patient, allowing the safe delivery of a live infant. Discussion and conclusion This case highlights the need for rapid identification and management of anaphylactic shock during emergency cesarean sections under general anesthesia, especially in high-risk patients with complex medical histories.https://doi.org/10.1186/s12871-024-02861-7Anaphylactic shockSuccinylcholineCesarean sectionEmergencyCase report |
| spellingShingle | Qi Cao Shengping Zhou Hongqin Chen Rong Zhou Anesthetic anaphylactic shock in an emergency cesarean section: a case report BMC Anesthesiology Anaphylactic shock Succinylcholine Cesarean section Emergency Case report |
| title | Anesthetic anaphylactic shock in an emergency cesarean section: a case report |
| title_full | Anesthetic anaphylactic shock in an emergency cesarean section: a case report |
| title_fullStr | Anesthetic anaphylactic shock in an emergency cesarean section: a case report |
| title_full_unstemmed | Anesthetic anaphylactic shock in an emergency cesarean section: a case report |
| title_short | Anesthetic anaphylactic shock in an emergency cesarean section: a case report |
| title_sort | anesthetic anaphylactic shock in an emergency cesarean section a case report |
| topic | Anaphylactic shock Succinylcholine Cesarean section Emergency Case report |
| url | https://doi.org/10.1186/s12871-024-02861-7 |
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