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http://dx.doi.org/10.4046/trd.2009.67.2.140

A Case of Tracheal Carcinoma Diagnosed by Rigid Bronchoscopy in Lidocaine Anaphylaxis Patient  

Yoon, Byeong Kab (Department of Internal Medicine, Chonnam National University Medical School)
Ban, Hee Jung (Department of Internal Medicine, Chonnam National University Medical School)
Kwon, Yong Soo (Department of Internal Medicine, Chonnam National University Medical School)
Oh, In Jae (Department of Internal Medicine, Chonnam National University Medical School)
Kim, Kyu Sik (Department of Internal Medicine, Chonnam National University Medical School)
Kim, Yu Il (Department of Internal Medicine, Chonnam National University Medical School)
Lim, Sung Chul (Department of Internal Medicine, Chonnam National University Medical School)
Kim, Young Chul (Department of Internal Medicine, Chonnam National University Medical School)
Song, Sang Yoon (Department of Thoracic & Cardiovascular Surgery, Chonnam National University Medical School)
Publication Information
Tuberculosis and Respiratory Diseases / v.67, no.2, 2009 , pp. 140-144 More about this Journal
Abstract
The majority of flexible bronchoscopies are performed under topical anesthesia with lidocaine being the most commonly used agent. Anaphylaxis rarely occurs after local administration of lidocaine, but can be a fatal complication. We experienced a case of unexpected anaphylaxis. A 66-year-old woman was scheduled for flexible bronchoscopy to evaluate a tracheal mass and stenosis. The oral and nasal mucosa were pretreated with lidocaine. About 2~3 minutes later, the patient developed hypotension and we treated for anaphylaxis in the emergency room. Then, we decided to perform rigid bronchoscopy in this patient, under conditions of general anesthesia. A rigid bronchoscopy was performed in this patient, safely and successfully. The tracheal mass was determined to be squamous cell carcinoma.
Keywords
Lidocaine anaphylaxis; Rigid bronchoscopy; Flexible bronchoscopy;
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