@article{Gautam_Shakya_2019, title={Anaphylactic Bronchospasm during Induction of General Anaesthesia: A Case Report}, volume={57}, url={https://www.jnma.com.np/jnma/index.php/jnma/article/view/4304}, DOI={10.31729/jnma.4304}, abstractNote={<p>Bronchospasm represents the clinical manifestation of bronchial muscles contraction resulting<br>in reduced alveolar air flow. Non-allergic mechanisms or anaphylaxis underlie the genesis of<br>perioperative bronchospasm, a potential anaesthetic disaster. Early recognition and treatment<br>are crucial. We report a rare incident of anaphylactic bronchospasm without hypotension during<br>general anaesthesia. Urticaria appeared in chest and abdomen suggesting anaphylaxis. After the<br>event resolved with bronchodilators, surgery continued uneventfully. Vecuronium was the most<br>probable culprit but confirmation was not possible as the patient was lost to follow up. Rarely,<br>perioperative anaphylaxis presents only with bronchospasm that requires prompt attention to avoid<br>adverse outcome.<br><br></p>}, number={218}, journal={Journal of Nepal Medical Association}, author={Gautam, Binod and Shakya, Rashna}, year={2019}, month={Aug.} }