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Continuity of Care Following Intraoperative Cardiac Arrest due to Thymoglobulin®-induced Anaphylaxis
- Source :
- Journal of Clinical and Diagnostic Research, Vol 12, Iss 4, Pp UD01-UD02 (2018)
- Publication Year :
- 2018
- Publisher :
- JCDR Research and Publications, 2018.
-
Abstract
- Rabbit anti-thymocyte globulin (Thymoglobulin®, Sanofi-Aventis, Quebec, Canada) a purified gamma immune globulin obtained from the serum of rabbits immunised against human thymocytes, is widely used as an immunosuppressant agent to prevent acute rejection during solid organ transplantation. Anaphylaxis after first-time exposure to the drug is rare, but may be associated with devastating consequences. We present the case of a patient undergoing renal transplantation who developed intraoperative cardiac arrest due to severe allergic reaction immediately after initiation of Thymoglobulin® intravenous infusion. The patient was successfully resuscitated, but developed chronic chest pain from left-sided rib fractures sustained during chest compressions, and was evaluated by the same senior staff anaesthesiologist as an outpatient in the pain clinic. A high level of suspicion from anaesthesia providers is paramount in the diagnosis and management of intraoperative drug-induced severe allergic reactions, furthermore there is an opportunity for continued care of these patients by anaesthesia providers beyond the return of spontaneous circulation.
- Subjects :
- 030504 nursing
Thymoglobulin
business.industry
030503 health policy & services
lcsh:R
Clinical Biochemistry
cardiopulmonary resuscitation complication
lcsh:Medicine
General Medicine
Intraoperative cardiac arrest
medicine.disease
03 medical and health sciences
rabbit anti-thymocyte globulin
Anesthesia
severe drug-induced allergic reaction
Medicine
Continuity of care
0305 other medical science
business
Anaphylaxis
Subjects
Details
- ISSN :
- 2249782X
- Database :
- OpenAIRE
- Journal :
- JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH
- Accession number :
- edsair.doi.dedup.....af607819fc07f80efb45952584e5062e