Case report: An anaphylaxis reaction followed by atracurium administration in general anesthesia

The patient was a 60kg 24 year old woman ASA Class I, who was candidate for tendon repair surgery due to a suicidal history. She hadn’t any history of medical problem, allergy and anything else. After premedi-cation with midazolam and fentanyl, and effective preoxygenation, anesthesia was induced by propofol and atracurium that was followed by severe hypotension, cyanosis, and PEA in ECG. The mechanical ventilation became impossible. The cardio-pulmonary resuscitation was started that was successful and after achieving a hemodynamic stability, the patient was admitted to ICU for continuing the treatment. During CPR we took a blood sample for measuring serum triptase. After having recovered in the ICU, the patient was referred to the Allergic clinic for follow up.