Anaphylactic shock induced by intravenous ketorolac: A case report

Ketorolac trometamol injection is the first injectable nonsteroidal anti-inflammatory drug (NSAID) approved for the short-term management of moderate to severe pain. As a non-opioid alternative, it represents a critical development for acute pain relief, particularly in postoperative and injury-rela...

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Main Authors: Huijuan Lu, Kaili Lai, Shuzhu Lin, Guining Dang
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Heliyon
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Online Access:http://www.sciencedirect.com/science/article/pii/S2405844025006164
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author Huijuan Lu
Kaili Lai
Shuzhu Lin
Guining Dang
author_facet Huijuan Lu
Kaili Lai
Shuzhu Lin
Guining Dang
author_sort Huijuan Lu
collection DOAJ
description Ketorolac trometamol injection is the first injectable nonsteroidal anti-inflammatory drug (NSAID) approved for the short-term management of moderate to severe pain. As a non-opioid alternative, it represents a critical development for acute pain relief, particularly in postoperative and injury-related scenarios. Like other NSAIDs, ketorolac trometamol is associated with common adverse reactions such as dizziness, headache, drowsiness, nausea, and vomiting, which are generally mild to moderate. However, rare but severe reactions like anaphylactic shock have been reported. This case report highlights a specific instance of anaphylactic shock induced by intravenous ketorolac trometamol, emphasizing the rapid onset of symptoms and the importance of vigilant monitoring during administration to prevent severe outcomes. Additionally, recommendations for post-recovery monitoring and allergological evaluation are provided to enhance clinical management in similar cases.
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issn 2405-8440
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publishDate 2025-02-01
publisher Elsevier
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series Heliyon
spelling doaj-art-4f1e5ec2a5234436b719b85fd850670e2025-02-03T04:16:48ZengElsevierHeliyon2405-84402025-02-01113e42236Anaphylactic shock induced by intravenous ketorolac: A case reportHuijuan Lu0Kaili Lai1Shuzhu Lin2Guining Dang3Department of Orthopedics and Traumatology, Southern Medical University Hospital of Integrated Traditional Chinese and Western Medicine, Guangzhou, ChinaDepartment of Orthopedics and Traumatology, Southern Medical University Hospital of Integrated Traditional Chinese and Western Medicine, Guangzhou, ChinaDepartment of Orthopedics and Traumatology, Southern Medical University Hospital of Integrated Traditional Chinese and Western Medicine, Guangzhou, ChinaCorresponding author.; Department of Orthopedics and Traumatology, Southern Medical University Hospital of Integrated Traditional Chinese and Western Medicine, Guangzhou, ChinaKetorolac trometamol injection is the first injectable nonsteroidal anti-inflammatory drug (NSAID) approved for the short-term management of moderate to severe pain. As a non-opioid alternative, it represents a critical development for acute pain relief, particularly in postoperative and injury-related scenarios. Like other NSAIDs, ketorolac trometamol is associated with common adverse reactions such as dizziness, headache, drowsiness, nausea, and vomiting, which are generally mild to moderate. However, rare but severe reactions like anaphylactic shock have been reported. This case report highlights a specific instance of anaphylactic shock induced by intravenous ketorolac trometamol, emphasizing the rapid onset of symptoms and the importance of vigilant monitoring during administration to prevent severe outcomes. Additionally, recommendations for post-recovery monitoring and allergological evaluation are provided to enhance clinical management in similar cases.http://www.sciencedirect.com/science/article/pii/S2405844025006164Ketorolac trometamolAnaphylactic shockAnaphylaxisIntravenous injectionAdverse drug reactionCase report
spellingShingle Huijuan Lu
Kaili Lai
Shuzhu Lin
Guining Dang
Anaphylactic shock induced by intravenous ketorolac: A case report
Heliyon
Ketorolac trometamol
Anaphylactic shock
Anaphylaxis
Intravenous injection
Adverse drug reaction
Case report
title Anaphylactic shock induced by intravenous ketorolac: A case report
title_full Anaphylactic shock induced by intravenous ketorolac: A case report
title_fullStr Anaphylactic shock induced by intravenous ketorolac: A case report
title_full_unstemmed Anaphylactic shock induced by intravenous ketorolac: A case report
title_short Anaphylactic shock induced by intravenous ketorolac: A case report
title_sort anaphylactic shock induced by intravenous ketorolac a case report
topic Ketorolac trometamol
Anaphylactic shock
Anaphylaxis
Intravenous injection
Adverse drug reaction
Case report
url http://www.sciencedirect.com/science/article/pii/S2405844025006164
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