Anaphylaxis to topical bovine thrombin used for hemostasis during surgery for herniated nucleus pulposus −A case report−
- Anaphylaxis to topical bovine thrombin used for hemostasis during surgery for herniated nucleus pulposus −A case report−
- 이덕희; 김혁구[김혁구]; 이혜미; 한지수[한지수]
- Anaphylaxis; Epinephrine; Topical bovine thrombin.
- Issue Date
- Anesthesia and Pain Medicine, v.10, no.3, pp.187 - 191
- Anaphylaxis is a type I allergic reaction and its clinical features occur after re-exposure to the same allergen. Numerous types of drugs can cause anaphylaxis during general anesthesia. Topical bovine thrombin (TBT) is usually used for hemostasis during surgery.
However, TBT can cause interruption of the normal blood coagulation pathways, delay wound repair, and lead to uncontrolled bleeding, anaphylaxis, or death. Anaphylaxis caused by TBT during the perioperative period is very rare. We report the case of a patient who developed severe hypotension, tachycardia, and bronchospasm while undergoing discectomy for herniated nucleus pulposus. Based on the symptoms and signs, anaphylaxis was considered most likely. Identification of the causative agents is important in these cases because it can be very helpful for the management and prevention of anaphylaxis.
- Appears in Collections:
- 의과대학 > 마취통증의학교실 > Articles
- Files in This Item:
There are no files associated with this item.
- RIS (EndNote)
- XLS (Excel)