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증례보고 : 회복실에서 Ketorolac 투여 후 발생한 아나필락시스
전성식 ( Sung Sik Chon ),김진호 ( Jin Ho Kim ),안은경 ( Eun Kyoung Ahn ),유은숙 ( Eun Sook Yoo ),김윤석 ( Youn Suk Kim ),박정복 ( Jung Bok Park ) 대한마취과학회 2008 Korean Journal of Anesthesiology Vol.55 No.6
Anaphylaxis is an acute onset, potentially fatal systemic allergic reaction. Multiple agents can cause anaphylaxis in the perioperative setting. Ketorolac is a potent analgesic drug and has been widely used for postoperative pain control. A 38-year-old male patient, who had surgery under general anesthesia without any problems, was scheduled for a spinal fusion. There were no problems during anesthesia. In post anesthetic care unit, he was given 30 mg of ketorolac intravenously. After the ketorolac injection, severe hypotension and tachycardia developed and delayed skin rash and wheel appeared. The patient was given epinephrine, antihistamine and steroid. The patient recovered without any significant complications. (Korean J Anesthesiol 2008; 55: 761~4)