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PubMed1982

[Severe anaphylactoid complications in anesthesia. Apropos of 35 cases].

35 cases of severe anaphylactoid accidents during anesthesia are reported. Clinical symptomatology is dominated by cardiovascular collapse and/or bronchospasm and/or cutaneous and mucous manifestations. The course is always favourable. The usual risk factors (drug allergy, atopic background, spasmophilia, multiple anesthesia) are found. Pentothal alone or added to succinylcholine is most incriminated, followed by C-T 1341, curare-like agents, propanidid and macromolecular solutions. The immunoallergic investigation is incomplete, founded on the inhibition of leukocyte migration test TIML. The principal mechanisms responsible for these accidents and the most frequent causal products are recalled. Laboratory tests are reviewed. In conclusion, the authors propose a curative and preventive action to be taken when faced with this severe and non-exceptional accident of anesthesia.

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