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KMID : 0356920090570060776
Korean Journal of Anesthesiology
2009 Volume.57 No. 6 p.776 ~ p.779
Intraoperative allergic reaction to fentanyl
Joo Jin

Bae Hyun-Min
Lee Jae-Min
Abstract
Although rare, intraoperative allergic reaction can lead to significant morbidity and mortality. Clinical diagnosis is difficult as there is a need to differentiate from other causes of perioperative adverse reactions, such as side effects of administered drugs, or patients¡¯ medical conditions which may present with bronchospasm or hypotension. Intraoperative allergic reaction may be triggered by various agents. Among those, opioid-induced allergic reaction is scarcely reported. We report a case of a patient who has previously had allergic reaction to meperidine and intraoperatively showed fentanyl induced anaphylaxis or anaphylactoid reaction with literature reviews.
KEYWORD
Allergic reaction, Anaphylaxis, Fentanyl, Meperidine
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