Anaphylactic Cardiac Arrest in a Parturient

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Abstract
ANAPHYLAXIS is a serious reaction that may follow repeated drug administration. Illustrated here is a fullblown picture of anaphylactic reaction after intravenous induction of anesthesia in a parturient undergoing elective cesarean section. In contrast with the mother in whom cardiac arrest developed, her newborn did not show, at birth, any anaphylactic manifestation. Report of a Case A 27-year-old multipara was scheduled for elective, secondary cesarean section because of cephalopelvic disproportion. She was premedicated intramuscularly with atropine sulfate, 0.6 mg. Anesthesia was induced with an intravenous injection of propanidid, 500 mg, which was followed immediately by the development of a generalized rash and edema in the patient. The pulse rate increased from 80 to 160 beats per minute, and the systolic blood pressure dropped from 120 to 40 mm Hg, and was followed within 30 seconds by cardiac arrest. An ECG demonstrated asystole. External cardiac massage and artificial ventilation with 100%

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