Article:
Anaphylactic Bronchospasm during Induction of General Anaesthesia: A Case Report

creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorGautam, Binod
dc.contributor.authorShakya, Rashna
dc.date.accessioned2026-08-25T05:29:53Z
dc.date.available2026-08-25T05:29:53Z
dc.date.issued2019
dc.descriptionBinod 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
dc.description.abstractAbstract 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. Keywords: allergy; anaphylaxis; bronchial spasm; general anesthesia.
dc.identifierhttps://doi.org/10.31729/jnma.4304
dc.identifier.urihttps://hdl.handle.net/20.500.14572/7440
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.subjectallergy
dc.subjectanaphylaxis
dc.subjectbronchial spasm
dc.subjectgeneral anesthesia
dc.titleAnaphylactic Bronchospasm during Induction of General Anaesthesia: A Case Report
dc.typeArticle
dspace.entity.typePublication
local.article.typeCase Report
oaire.citation.endPage268
oaire.citation.startPage266
relation.isJournalIssueOfPublication1a001b54-c6dc-492e-a8f9-6ec20301f651
relation.isJournalIssueOfPublication.latestForDiscovery1a001b54-c6dc-492e-a8f9-6ec20301f651
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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