Hypersensitivity Reaction
Conditions
Keywords
general anaesthesia, mast cell, rocuronium, tryptase
Brief summary
Rocuronium is a aminosteroid structured, non-depolarizing neuromuscular blocking agents (NMB). Epidemiological data presents that the frequency of hypersensitivity reactions caused by rocuronium have been increased. Determinations of serum tryptase concentrations are interdisciplinary recommended in diagnosis of its adverse reactions. No studies have been performed to explain specific role of rocuronium doses on serum tryptase values. The aim of this study was to investigate the potential effect of rocuronium on serum tryptase concentrations.
Detailed description
The greatest risk of hypersensitivity occurs during anesthesia for female patients and it is connected with the induction phase using skeletal muscle relaxants . Epidemiological data presents that the frequency of hypersensitivity reactions caused by rocuronium have been increased. Due to the multiple advantages reports of triggering allergic or hypersensitivity reactions caused by rocuronium create doubts about the safety of application .
Interventions
using rocuronium as a relaxants during general anaesthesia
method of anaesthesia
Sponsors
Study design
Masking description
qualification according surgical operation
Intervention model description
The study included 126 women given a general volatile anesthesia: group I - 66 - using the rocuronium and group II - 60 - without neuromuscular relaxants. Informations about perioperative fluid therapy and doses of rocuronium were noticed. The blood samples were collected to perform tryptase concentration analysis: preoperatively - before anesthesia and postoperatively - after recovery from anesthesia.
Eligibility
Inclusion criteria
* ASA 1-2, no allergy and perioperative hypersensitivity reactions during anaesthesia
Exclusion criteria
* steroid therapy, allergy in medical history, mastocytosis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| tryptase | up to 40 minutes after surgery | serum tryptase concentration |