Work

Anesthetic anaphylactic shock in an emergency cesarean section: a case report

Year: 2024

Type: article

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.

Source: BMC Anesthesiology

DOI: 10.1186/s12871-024-02861-7

Authors: Qi Cao, Shengping Zhou, Hongqin Chen, Rong Zhou

Institutions: Sichuan University, West China Second University Hospital of Sichuan University

Language: English

Topic: Anesthesia and Sedative Agents

Subfield: Anesthesiology and Pain Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,990