Anaphylactic Bronchospasm during Induction of General Anaesthesia: A Case Report

  • Binod Gautam Department of Anaesthesia and Intensive Care, Kathmandu Medical College, Sinamangal, Kathmandu, Nepal
  • Rashna Shakya Department of Anaesthesia and Intensive Care, Kathmandu Medical College, Sinamangal, Kathmandu, Nepal
Keywords: allergy; anaphylaxis; bronchial spasm; general anesthesia.

Abstract

Bronchospasm represents the clinical manifestation of bronchial muscles contraction resulting
in reduced alveolar air flow. Non-allergic mechanisms or anaphylaxis underlie the genesis of
perioperative bronchospasm, a potential anaesthetic disaster. Early recognition and treatment
are crucial. We report a rare incident of anaphylactic bronchospasm without hypotension during
general anaesthesia. Urticaria appeared in chest and abdomen suggesting anaphylaxis. After the
event resolved with bronchodilators, surgery continued uneventfully. Vecuronium was the most
probable culprit but confirmation was not possible as the patient was lost to follow up. Rarely,
perioperative anaphylaxis presents only with bronchospasm that requires prompt attention to avoid
adverse outcome.

Published
2019-08-31
How to Cite
Gautam, B., & Shakya, R. (2019). Anaphylactic Bronchospasm during Induction of General Anaesthesia: A Case Report. Journal of Nepal Medical Association, 57(218). https://doi.org/10.31729/jnma.4304
Section
Case Reports