Suspected intraoperative anaphylaxis to gelatin absorbable hemostatic sponge

Area of Science:

• Anesthesiology
• Immunology
• Surgical Safety

Background:

• Anaphylaxis under anesthesia presents a significant clinical challenge.
• Identifying rare allergens is crucial for patient safety during surgical procedures.

Observation:

• A patient experienced anaphylaxis during anesthesia.
• The event was linked to the use of Gelfoam sponges.

Findings:

• Gelfoam sponges can precipitate anaphylaxis in susceptible individuals.
• This implicates a commonly used surgical hemostatic agent as a potential allergen.

Implications:

• Clinicians must consider Gelfoam sponges in the differential diagnosis of anaphylaxis during surgery.
• Enhanced vigilance and potential alternative agents may be warranted to prevent future events.