症例報告麻酔導入時に発生した気管支痙攣に対してイソフルランの吸入が有効であった1症例

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This is a case of a 49-year-old female who suffered from allergic rhinitis although there were no symptoms of bronchial asthma. The patient planned to have an endoscopic paranasal sinus operation for chronic sinusitis. After tracheal intubation was carried out with fentanyl, midazolam and vecuronium, no respiratory sound could be obtained with a catarrh of the pulmonary apex. There was wheezing in the lower lung field. We diagnosed bronchospasm. Although we injected aminophylline, succinic acid and methylprednisolone sodium, there was no effect on bronchospasm. Therefore, inhalation of a high concentrate of isofiurane was started, and her condition improved after 30 minutes. It is suggested that isofiurane is useful for bronchospasm. This is a case of a patient who had no history of bronchial asthma attack and who developed severe bronchospasm in which broncho dilators had no effect after the induction of anesthesia.
学校法人昭和大学・昭和医学会の論文