A suspected case of coronary vasospasm induced by anaphylactic shock caused by rocuronium-sugammadex complex

The cause of anaphylaxis during general anaesthesia is often related to muscle relaxants, and anaphylaxis due to rocuronium has often been reported [1]. Sugammadex reverses the effects of steroidal neuromuscular blocking agents, and perioperative anaphylaxis associated with sugammadex has also recently been reported [2]. However, anaphylaxis associated with the rocuronium-sugammadex complex has only been reported in two cases to date [3,4]. On the other side, Kounis syndrome is an acute coronary syndrome associated with allergic response, classified as type I (coronary spasm) and as type II (coronary thrombosis) [5].
Source: Journal of Clinical Anesthesia - Category: Anesthesiology Authors: Tags: Correspondence Source Type: research