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KMID : 0383820090670020140
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Tuberculosis and Respiratory Diseases
2009 Volume.67 No. 2 p.140 ~ p.144
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A Case of Tracheal Carcinoma Diagnosed by Rigid Bronchoscopy in Lidocaine Anaphylaxis Patient
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Yoon Byeong-Kab
Ban Hee-Jung
Kwon Yong-Soo
Oh In-Jae
Kim Kyu-Sik
Kim Yu-Il
Lim Sung-Chul
Kim Young-Chul
Song Sang-Yun
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Abstract
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The majority of flexible bronchoscopies are performed under topical anesthesia with lidocaine being the most commonly used agent. Anaphylaxis rarely occurs after local administration of lidocaine, but can be a fatal complication. We experienced a case of unexpected anaphylaxis. A 66-year-old woman was scheduled for flexible bronchoscopy to evaluate a tracheal mass and stenosis. The oral and nasal mucosa were pretreated with lidocaine. About 2~3 minutes later, the patient developed hypotension and we treated for anaphylaxis in the emergency room. Then, we decided to perform rigid bronchoscopy in this patient, under conditions of general anesthesia. A rigid bronchoscopy was performed in this patient, safely and successfully. The tracheal mass was determined to be squamous cell carcinoma.
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KEYWORD
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Lidocaine anaphylaxis, Rigid bronchoscopy, Flexible bronchoscopy
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