నైరూప్య

Unrecognized anaphylaxis under anesthesia

Agnes Molnar

Case of a morbidly obese 45 year old woman (BMI 50) undergoing a minor day case procedure with planned general anaesthesia and intubation who, after a standard induction including suxamethonium, presented a challenging airway and bronchospasm simultaneously. Haemodynamics initially were uncompromised with the main issues being sudden onset significant desaturation and bronchospasm which was managed after intubation with endotracheal salbutamol. Skilled assistance was sought from anaesthetic and intensive care colleagues.