| Severe Oropharyngeal Angioedema Caused by Propofol: A case report. |
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Chul Ho Shin, Young Hee Lee, Young Min Kim, Se Hun Park, Iel Yong Sung, Seong Won Choi, Soon Eun Park |
1Department of Anesthesiology and Pain Medicine, Ulsan University School of Medicine, Ulsan, Korea. gamju@yahoo.co.kr
2Department of Oral & Maxillofacial Surgery, Ulsan University School of Medicine, Ulsan, Korea.
3Department of Internal Medicine, Ulsan University School of Medicine, Ulsan, Korea. |
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| Abstract |
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Although propofol is thought to be a relatively safe intravenous anesthetic with regard to histamine release reactions, anaphylactoid reactions to propofol may sometimes occur, especially in patients with a history of allergy, atopy, or asthma. Here we report a patient with allergies to sesame leaves and cold medications who experienced an anaphylactic reaction with severe oropharyngeal edema a few minutes after receiving propofol (Anepol(R)). This finding suggests that propofol should be used with caution in patients with a history of allergy. Because profound airway edema can occur, the airway should be evaluated before extubation of the trachea. |
| Key Words:
airway; anaphylactic reaction; oropharyngeal edema; propofol |
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