Heavy Marcain Allerjisi

Öz

Birçok ilaç allerjik reaksiyonlara neden olabilmektedir ve bazen ölüme neden olmaktadır. Rejyonel anestezik ilaçlar nadiren alerjik etkilere sahiptir. Regional anesteziklerin kullanım sıklığı artmaktadır ve artan alerjik reaksiyon ve mortalite riski nedeniyle dikkatli olmak gereklidir. Bu olgu sunumunda hiperbarik bupivakain ile regional anestezi uygulaması sonrası ortaya çıkan alerjik reaksiyona yaklaşımın tartışılması amaçlanmıştır. 

Anahtar Kelimeler

• Marcain,regional anestezi,allerjik reaksiyon

Heavy Marcain Allergy

Öz

Many medications can cause allergic reactions and sometimes leads to death. Regional anesthetic drugs has rare allergic effects. Increased use ofregional anesthetics and should be more careful because of the increased riskof allergic reactionsand mortality. In this case report, we aimed to discuss approach to allergic reaction occurring after the application ofregional anesthesia with hyperbaric bupivacaine.

Anahtar Kelimeler

• Marcain,Regional Anesthesia,Allergic Reaction

Kaynakça

1. 1) Bjornestad E, Rosseland LA. Anaesthesia for Caesarean section. Tidsskr Nor Laegeroren. 2010;8;130(7):748-51. 2) Robert B. Roberts M.D. and Michael A. Shirley M.D.Reducing the Risk of Acid Aspiration During Cesarean Section. Anesthesia and Analgesia: November 1974; 53(6) 859-868. 3) HawkinsJoy L. MD, Koonin Lisa M. MN, MPH, Palmer Susan K. MD, Gibbs Charles P. MD. Anesthesia-related Deaths during Obstetric Deliver y in the United States, 1979-1990. Anesthesiology: February 1997; 86(2):277–284. 4) Astra Zeneca, Marcaine Spinal Heavy %0.5 IDS090697-zentiva. 5) Araujo LMT, Amaral JLG.Allergytolidokain. Case report. Rev Bras Anestesiol: 2004; 54: 672-676. 6) Lukawska J, RosarioCaballero M, et al. Hypersensitivityto lokal anaesthetics – 6 factsand 7 myths. Curr. AllergyClin.Imminol: 2009; 22: 117-120. 7) Noormalin A, Shahnaz M, rosmilah M, et al.IgEmediated hypersensitivity reaction tolignocaine – a casereprot. Tropical Biomedicine: 2005; 22; 179-183. 8) Grzanka A, Misilek H, Filipowska A, Miskiewcz-Orczyk K, Jarzab J. Adverse effects of local anaesthetics –allergy, toxic reaction sor hypersensitivity. Anaesthesiology Intensive Theraphy: 2010;42: (4);175-178. 9) Konishi R, Kawagoe I, Kanai M, Kimura S, Mitsuhata H. Anaphylactic reaction to epidural block in an outpatient. Masui. 2010;59(10):1287-90