| Thromboemboli, acute right heart failure and disseminated intravascular coagulation after intraoperative application of a topical hemostatic matrix. | |
| | |
MedLine Citation:
|
PMID: 19151266 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Topical hemostatic agents are frequently used in spine surgeries to control or reduce bleeding. Although there are a number of commercially available products, at our institution, an absorbable gelatin powder (Surgifoam) is mixed with bovine thrombin and used for this purpose. We report the case of a patient undergoing a posterior spinal fusion for scoliosis who developed acute right heart failure, cardiac arrest, and disseminated intravascular coagulation after probable intravascular hemostatic agent-induced emboli. Clinicians need to be aware of this potentially deadly complication associated with topical hemostatic agents. |
| | |
Authors:
|
Marla B Ferschl; Mark D Rollins |
Related Documents
:
|
15989696 - Postresuscitation encephalopathy. current views, management, and prognostication. 7737226 - Risk factors of cardiac arrest in arrhythmogenic right ventricular dysplasia. 15951836 - Transgenic expression of the deoxynucleotide carrier causes mitochondrial damage that i... 9883756 - Heart transplantation for hypoplastic left heart syndrome: modified technique for reduc... 10783056 - Oozing type cardiac rupture repaired with percutaneous injection of fibrin-glue into th... 7847956 - Systolic and diastolic function after patch reconstruction of left ventricular aneurysms. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Anesthesia and analgesia Volume: 108 ISSN: 1526-7598 ISO Abbreviation: Anesth. Analg. Publication Date: 2009 Feb |
Date Detail:
|
Created Date: 2009-01-19 Completed Date: 2009-02-09 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 1310650 Medline TA: Anesth Analg Country: United States |
Other Details:
|
Languages: eng Pagination: 434-6 Citation Subset: AIM; IM |
Affiliation:
|
Department of Anesthesia and Perioperative Care, University of California, San Francisco, California, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Animals Carbon Dioxide / blood Cattle Disseminated Intravascular Coagulation / etiology* Echocardiography, Transesophageal Female Gelatin / adverse effects* Heart Arrest / etiology, therapy Heart Failure / etiology* Hematocrit Hemostatics / adverse effects* Humans Intraoperative Complications / etiology* Platelet Count Scoliosis / surgery Thrombin / adverse effects* Thromboembolism / etiology* Tomography, X-Ray Computed |
| Chemical | |
Reg. No./Substance:
|
0/Hemostatics; 124-38-9/Carbon Dioxide; 9000-70-8/Gelatin; EC 3.4.21.5/Thrombin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The right ventricle in cardiac surgery, a perioperative perspective: II. Pathophysiology, clinical i...
Next Document: The impact of aprotinin on postoperative renal dysfunction in neonates undergoing cardiopulmonary by...