Anaphylaxis to Surgiflo During Posterior Spinal Fusion in an Adolescent Status Post Truncus Arteriosus Repair: A Case Report. Issue 6 (15th March 2018)

• Record Type: Journal Article
• Authors: Manrique Espinel, Ana Maria; Feldman, Jeffrey M.; Nelson, Susan; Smaliak, Tatiana; Flynn, John M.; Nicolson, Susan C.
• Is Part Of: A & A practice. Volume 10:Issue 6(2018)
• Publication Date: 2018-03-15
• Subjects: Analgesia -- Periodicals; Analgesia -- Case studies -- Periodicals; Anesthesiology -- Periodicals; Anesthesiology -- Case studies -- Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000000646
• Languages: English
• ISSNs: 2575-3126

Abstract

Abstract : Anaphylactic reaction to gelatin-containing hemostatic agents has been reported in the orthopedic literature, most commonly during scoliosis repair in adolescents. However, the risk, differential diagnosis, and management of anaphylaxis in patients with complex congenital heart disease undergoing noncardiac procedures have not been previously reported. We describe the case of an adolescent with a history of repaired truncus arteriosus undergoing posterior spinal fusion who developed sudden and profound hypotension that was ultimately confirmed to be an anaphylactic reaction to Surgiflo. Echocardiography was used to aid in diagnosis and management of the cardiovascular effects of anaphylaxis in this patient with residual cardiac pathophysiology. Abstract : Supplemental Digital Content is available in the text.