Critical care management of systemic mastocytosis: when every wasp is a killer bee

Table 4 Medications which are known potential triggers of mast cell degranulation

	Opioids	Hypnotics	Muscle relaxants	(Local) anaesthesia	Volatile anaesthetics
Avoid			Mivacurium	Nefopam
Avoid			Atracurium	Nefopam
Avoid rapid perfusion	Morphine Codeine	Thiopental	Succinylcholine Rocuronium	Lidocain Bupivacain
(if possible, use alternative agents)	Morphine Codeine	Thiopental	Succinylcholine Rocuronium	Lidocain Bupivacain
Low risk	Fentanyl Sufentanil Remifentanil Alfentanil	Midazolam Propofol Etomidate Ketamine	Cis-atracurium Pancuronium Vecuronium	Ropivacain	Desfurane Sevoflurane Enflurane Isoflurane
Low risk	Fentanyl Sufentanil Remifentanil Alfentanil	Midazolam Propofol Etomidate Ketamine	Cis-atracurium Pancuronium Vecuronium	Paracetamol	Desfurane Sevoflurane Enflurane Isoflurane

ISSN: 1364-8535