Does an allergy to fish pre-empt an adverse protamine reaction? A case report and a literature review.
AffiliationCardiac Theatre, Cork University Hospital, Wilton, Cork, Ireland. firstname.lastname@example.org
Cardiac Surgical Procedures
MetadataShow full item record
CitationDoes an allergy to fish pre-empt an adverse protamine reaction? A case report and a literature review. 2008, 23 (6):369-72 Perfusion
AbstractThe operating theatre exposes patients to myriad potential agents which could result in a life-threatening anaphylactic reaction. Anaesthetic drugs, blood products, and latex are only some of the possible allergens. Reactions are deemed to be anaphylactic when immediate sensitivity is combined with cardiovascular collapse. A patient who had a known allergy to shellfish presented for first time cardiopulmonary bypass. The perfusion team were concerned that there was a realistic possibility that an adverse reaction to protamine could occur. Anaphylactic reactions to protamine in patients allergic to fish have been reported. The anaesthetic team were informed and the necessary precautions taken. We report on the outcome for our patient and also discuss other risk factors and the types of reactions that can result when an adverse reaction to protamine occurs.
- Allergy to protamine sulfate.
- Authors: Porsche R, Brenner ZR
- Issue date: 1999 Nov-Dec
- Evaluation of patients at risk for protamine reactions.
- Authors: Levy JH, Schwieger IM, Zaidan JR, Faraj BA, Weintraub WS
- Issue date: 1989 Aug
- Unpredictable anaphylactic reaction to protamine sulfate.
- Authors: Dayal SK, Barlow JC, Watson WA
- Issue date: 1988 Mar
- Life threatening protamine reaction during bypass surgery--a case report.
- Authors: Mishra DK, Sathyamurthy I, Subramanyan K, Girinath MR
- Issue date: 2009 Mar-Apr
- Adverse reactions to protamine sulfate during cardiac surgery in diabetic and non-diabetic patients.
- Authors: Gottschlich GM, Gravlee GP, Georgitis JW
- Issue date: 1988 Oct