1. Postanesthetic skin erythema due to succinylcholine versus atracurium
- Author
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Roxana Gabriela Cobzaru, Octavian Catalin Ciobotaru, Gabriela Stoleriu, Alexandru Grigorovici, Nicuta Manolache, Madalina Nicoleta Matei, Doina Carina Voinescu, Oana Roxana Ciobotaru, and Mary Nicoleta Lupu
- Subjects
0301 basic medicine ,Cancer Research ,Skin erythema ,Erythema ,medicine.drug_class ,succinylcholine ,medicine.medical_treatment ,Antibiotics ,atracurium ,depolarizing myorelaxants ,Bronchospasm ,03 medical and health sciences ,0302 clinical medicine ,Immunology and Microbiology (miscellaneous) ,medicine ,Intubation ,In patient ,postanesthetic side effects ,Rocuronium ,non-depolarizing myorelaxants ,business.industry ,General Medicine ,Articles ,Neuromuscular Blocking Agents ,030104 developmental biology ,030220 oncology & carcinogenesis ,Anesthesia ,medicine.symptom ,business ,erythema ,medicine.drug - Abstract
Intraoperative anaphylactic reactions may range from mild, erythema-like to anaphylactic shock, with tension crash and bronchospasm. The substances considered to be most responsible for the occurrence of intraoperative allergic reactions are neuromuscular blocking agents, antibiotics and latex. Recent studies have identified a new receptor, Mas-Related G-Protein-coupled Receptor X2 (MRGPRX2), considered as a target for some neuromuscular blockers such as atracurium, rocuronium or fluoroquinolone, resulting in pseudoallergic or anaphylactoid reactions. Induction of anesthesia can use both depolarizing myorelaxants, useful especially in emergency situations, in the patient with gastric plenitude or at high risk of intubation, and non-depolarizing myorelaxants such as atracurium, cisatracurium and rocuronium. Succinylcholine has a short time of action and it is rapidly metabolized. Atracurium, although having a slightly longer time to action, has the benefit of a low risk of increased levels of potassium in blood, which is extremely important in patients with cardiac pathology or associated kidney diseases. The present study compared the side effects of systemic anesthesia with succinylcholine vs. atracurium.
- Published
- 2020