Anaphylactic reaction after autologous blood transfusion: A case report and review of the literature

Shailendra Kumar, Keshav Goyal, Surya Kumar Dube, Surya Dubey, Ashish Bindra, Shweta Kedia, Shailendra Kumar, Keshav Goyal, Surya Kumar Dube, Surya Dubey, Ashish Bindra, Shweta Kedia

Abstract

Autologous blood transfusion as a cause of intraoperative anaphylaxis is very rare. We encountered one such life-threatening event in a 72-year-old patient undergoing laminectomy and pedicle screw fixation. The probable cause identified was the floseal mixed autologous blood transfusion. Review of literature has been done, and measures to avoid such an event in the future are discussed.

Keywords: Anaphylaxis; autologous; blood transfusion; cell saver; neurosurgery.

Conflict of interest statement

Conflict of Interest: None declared.

References

    1. Baxter Packet Insert for Floseal. [Last updated on 2005 Mar]. Available from: .
    1. Dideco Electa Sorin Group Brochure. [Last updated on 2011 Jun]. Available from: .
    1. Laxenaire MC, Mertes PM. Groupe d’Etudes des Réactions Anaphylactoïdes Peranesthésiques. Anaphylaxis during anaesthesia. Results of a two-year survey in France. Br J Anaesth. 2001;87:549–58.
    1. Hepner DL, Castells MC. Anaphylaxis during the perioperative period. Anesth Analg. 2003;97:1381–95.
    1. Spencer HT, Hsu JT, McDonald DR, Karlin LI. Intraoperative anaphylaxis to gelatin in topical hemostatic agents during anterior spinal fusion: A case report. Spine J. 2012;12:e1–6.
    1. Krupp J, Mahapatra S. St. Louis, MO, USA: 2011. [Last retrieved on 2015 Mar 25]. Text: Out of The ‘Blue’-Anaphylaxis During Posterior Spinal Fusion. Paper Presented at Meeting of Pediatric Anaesthesia. Abstract. Available from: .
    1. Nakayama T, Aizawa C, Kuno-Sakai H. A clinical analysis of gelatin allergy and determination of its causal relationship to the previous administration of gelatin-containing acellular pertussis vaccine combined with diphtheria and tetanus toxoids. J Allergy Clin Immunol. 1999;103:321–5.
    1. Sakaguchi M, Inouye S. Systemic allergic reactions to gelatin included in vaccines as a stabilizer. Jpn J Infect Dis. 2000;53:189–95.

Source: PubMed

Patrocinadores e Colaboradores

Condições médicas

Intervenções de drogas

3
Se inscrever