Latex Anaphylaxis after Tourniquet Release during Total Knee Arthroplasty

Pirat, Philippe; Lopez, Sandrine; Motais, Frédéric; Bonnet, M. C.; Capdevila, Xavier

doi:10.1097/00000542-200309000-00031

Cited by 4 publications

(2 citation statements)

References 18 publications

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“…Although tourniquets do not always contain latex, the risk of allergic reaction should encourage the patient care team to verify the patient's allergies before the procedure. An allergic reaction can lead to anaphylactic shock within minutes of tourniquet deflation . The timing of the cardiovascular collapse is most likely linked to the systemic distribution of the antigen that occurs after releasing the tourniquet.…”

Section: Health History and Assessmentmentioning

confidence: 99%

“…The collapse also may be linked to the extent of the hyperemic response that occurs after deflation. Moreover, it is prudent that providers recognize a significant cross‐reactivity between citrus fruits and avocados with latex allergy . Some patients may not be aware that they have a latex allergy, but perioperative personnel can discern this if the patient has a known allergy to certain foods.…”

Section: Health History and Assessmentmentioning

confidence: 99%

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Understanding and Optimizing Tourniquet Use During Extremity Surgery

Jensen¹,

Hicks²,

Labovitz³

2019

AORN Journal

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Tourniquet use during extremity surgery is commonplace and a relatively safe practice. The surgical team's knowledge of the patient history, proper assessment, and indications and contraindications for and risks of tourniquet use can prevent unwanted outcomes. Exploration of these critical areas reinforces perioperative nurses’ awareness and understanding of safe tourniquet use. Additionally, a review of the physiological effect of tourniquets on the skin, the body's response to local compression, the risk of vascular compromise, and the effect of the tourniquet on postoperative pain and swelling provides insight into AORN recommended practice guidelines. This article summarizes the indications and assessments for and risks of tourniquet use for patients during extremity surgery. An understanding of these topics can improve surgical outcomes and promote safe perioperative care.

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Section: Health History and Assessmentmentioning

confidence: 99%

Section: Health History and Assessmentmentioning

confidence: 99%

Understanding and Optimizing Tourniquet Use During Extremity Surgery

Jensen¹,

Hicks²,

Labovitz³

2019

AORN Journal

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Rezidivierende Ergussbildung und granulomatöse Synovitis nach Knietotalendoprothesenimplantation bei Latexallergie

Schuh

Thomas

Hönle³

et al. 2008

Orthopäde

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An increasing number of articles report about allergic reactions in association with total knee arthroplasty. While most studies focus on allergic reactions to metallic components, few reports exist about reactions to bone cement or its ingredients. Allergy to natural rubber latex is a major occupational problem in the health care sector and a problem even in other occupations in which protective gloves are used. The allergic reaction to latex ranges from a minor skin rash to anaphylactic shock. Preventing exposure to latex is the key to managing and preventing this allergy. We report about a patient who developed recurrent effusion and granulomatous synovitis following total knee arthroplasty in association with latex allergy.

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