A case of anaphylactic shock in an elderly man following protamine sulfate administration during emergent off-pump coronary artery bypass grafting

Japanese Journal of Anesthesiology

Volumn 55, Issue 5, 2006, Pages 605-610

  Kudoh, Osamu ^a   Warabi, Kengo ^a   Yamaguchi, Keisuke ^a   Ichinose, Maki ^a   Iizuka, Takako ^a   Inada, Eiichi ^a  

^a JUNTENDO UNIVERSITY   (Japan)

Author keywords

Anaphylactic shock; Emergent off pump coronary artery bypass grafting; Protamine sulfate

Indexed keywords

ADRENALIN; INSULIN; NORADRENALIN; PHENYLEPHRINE; PROTAMINE SULFATE;

AGED; ANAMNESIS; ANAPHYLACTIC SHOCK; ARTICLE; CASE REPORT; CLINICAL FEATURE; CRYSTALLOID; DIABETES MELLITUS; DIAGNOSTIC IMAGING; EMERGENCY PATIENT; HEART INFARCTION; HUMAN; MALE; OFF PUMP CORONARY SURGERY; POSTOPERATIVE PERIOD; PREOPERATIVE EVALUATION;

AGED, 80 AND OVER; ANAPHYLAXIS; ATRIAL FIBRILLATION; CORONARY ARTERY BYPASS, OFF-PUMP; DIABETES MELLITUS, TYPE 1; EMERGENCIES; HEPARIN ANTAGONISTS; HUMANS; MALE; MYOCARDIAL INFARCTION; PROTAMINES;

EID: 33646793327     PISSN: 00214892     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (15)

1. Michaels IAL, Barash PG. Hemodynamic changes during protamine administration. Anesth Analg 1983; 62: 831-5.
2. Shapira N, Schaff HV, Piehler JM, White RD, Sill JC, Pluth JR. Cardiovascular effects of protamine sulfate in man. J Thorac Cardiovasc Surg 1982; 84: 505-14.
3. Wakefield TW, Whitehouse WM, Stanley JC. Depressed cardiovascular function and altered platelet kinetics following protamine sulfate reversal of heparin activity. J Vasc Surg 1984; 1: 346-55.
4. Diabetes Journal 1995; 23: 65-8.
5. Levy JH, Schwieger IM, Zaidan JR. Evaluation of patients at risk for protamine reactions. J Thorac Cardiovasc Surg 1989; 98: 200-4.
6. Vincent GM, Janowski M, Menlove R. Protamine allergy reactions during cardiac catheterization and cardiac surgery; Risk in patients taking protamine-insulin preparation. Catheter Cardiovasc Diagn 1991; 23: 164-8.
7. Gottschlich GM, Gravlee GP, Georgitis JW. Adverse reactions to protamine sulfate during cardiac surgery in diabetic and non-diabetic patients. Ann Allergy 1988; 61: 277-81.
8. Knape JTA, Schuller JL, de Haan P, de Jong AP, Bovill JG. An Anaphylactic reaction to protamine in a patient allergic to fish. Anesthesiology 1981; 55: 324-5.
9. Horrow JC. Adverse reactions to protamine. Int Anesthesiol Clin. 1985; 23: 133-44.
10. Horrow JC. Protamine: A review of its toxicity. Anesth Analg 1985; 64: 348-61.
11. Weiss ME, Nyhan D, Peng ZK, Horrow JC, Lowenstein E, Hirshman C, et al. Association of protamine IgE and IgG antibodies with life-threatening reactions to intravenous protamine. N Engl J Med 1989; 320: 886-92.
12. Takenoshita M, Sugiyama M, Okuno Y, Inagaki Y, Yoshiya I, Shimazaki Y. Anaphylactoid reaction to protamine confirmed by plasma tryptase in a diabetic patient during open heart surgery. Anesthesiology 1996; 84: 233-5.