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Canadian Journal of Anesthesia, Vol 33, 75-78, Copyright © 1986 by Canadian Anesthesiologists' Society
1 Department of Anesthesiology, The Oregon Health Sciences University, 3181 S.W. Sam Jackson Park Road, Portland, OR 97201
Address correspondence to: Dr. Bennett at the above address.
A 29 year-old female patient suffered vascular collapse which became apparent immediately after general anaesthesia. Resuscitation was prolonged and difficult, and complicated by the need for reoperation. Based on the time history, fentanyl was suspected as the causative agent. Fentanyl allergy was confirmed by skin testing one month later. The case is discussed, and the possible reasons for the delay in appearance of symptoms and signs are considered.
Key Words: ALLERGY: fentanyl anaphylaxis ANALGESICS: fentanyl COMPLICATIONS: hypotension
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