Evidence map›Paper›PMID 40536761›Full record

ArticleJA clinical reports2025

Anaphylaxis due to midazolam administered before induction of general anesthesia: a case report.

Ryosuke Funabiki, Tatsuo Horiuchi, Toshie Shiraishi, Masaki Orihara, Kazuhiro Nagumo, Shigeru Saito

Abstract read
In one paragraph

Article in JA clinical reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ryosuke Funabiki *Department of Anesthesiology, Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan.
Tatsuo Horiuchi *Department of Anesthesiology, Gunma University Hospital, 3-39-15, Showa-machi, Maebashi, Gunma, 371-8511, Japan. shinano-sunset@hotmail.co.jp.ORCID http://orcid.org/0000-0001-7954-4358
Toshie ShiraishiDepartment of Anesthesiology, Yotsuya Medical Cube, 7-7 Niban-cho, Chiyoda-ku, Tokyo, 102-0084, Japan.
Masaki OriharaIntensive Care Unit, Gunma University Hospital, 3-39-15, Showa-machi, Maebashi, Gunma, 371-8511, Japan.
Kazuhiro NagumoDepartment of Anesthesiology, Gunma University Hospital, 3-39-15, Showa-machi, Maebashi, Gunma, 371-8511, Japan.
Shigeru SaitoDepartment of Anesthesiology, Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan.

Funding

Japan Society for the Promotion of Science 24K12107
6 · The paper itself

Abstract

backgroundAnaphylaxis is an immediate allergic reaction. However, in some cases, there is a delay between the administration of the causative agent and the onset of anaphylaxis. CASE PRESENTATION: A 41-year-old woman was scheduled for laparoscopic myomectomy under general anesthesia combined with epidural anesthesia. Midazolam was administered, and an epidural catheter was inserted. Seven minutes after the induction of general anesthesia (17 min after midazolam administration), the patient developed tachycardia, hypotension, and redness of the face and trunk. Her hemodynamic status improved after administration of phenylephrine and elevation of both legs, and the surgery was completed. Increased blood histamine and tryptase levels were observed 30 min after the onset of hemodynamic signs. Based on the above, anaphylaxis was diagnosed. Skin tests later showed that midazolam was the causative agent.

conclusionsA case of perioperative anaphylaxis caused by midazolam, which was used before the induction of general anesthesia, was described.

Indexed as

AnaphylaxisMidazolamSkin tests

Identifiers

PMID40536761
PMCPMC12179032

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