title: Anaphylaxis-induced hyperfibrinolysis in pregnancy.
abstract: Anaphylaxis during pregnancy is rare but life threatening to both mother and fetus. The anaesthetist may be unexpectedly faced with an obstructing airway, severe bronchospasm and cardiac arrest requiring perimortem caesarean delivery to relieve aortocaval compression. We present a case of anaphylaxis-induced hyperfibrinolysis, an infrequently discussed complication that could exacerbate postpartum haemorrhage and hamper resuscitative efforts.
authors: Department of Anaesthesia, King Edward Memorial Hospital, Subiaco, WA, Australia. Electronic address: hantruong79@gmail.com.
authors: H T
authors: HT
authors: Truong
authors: Department of Anaesthesia, King Edward Memorial Hospital, Subiaco, WA, Australia.
authors: R M
authors: RM
authors: Browning
mesh_terms: D000328:Adult; D000707:Anaphylaxis / Q000150:complications* / Q000188:drug therapy; D000933:Antifibrinolytic Agents / Q000627:therapeutic use; D001778:Blood Coagulation Disorders / Q000209:etiology*; D001986:Bronchial Spasm / Q000517:prevention & control; D000077324:Crystalloid Solutions; D004837:Epinephrine / Q000627:therapeutic use; D005260:Female; D006323:Heart Arrest / Q000517:prevention & control; D006801:Humans; D007552:Isotonic Solutions / Q000627:therapeutic use; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000188:drug therapy; D013916:Thrombelastography; D014148:Tranexamic Acid / Q000627:therapeutic use
chemical_list: D000933:Antifibrinolytic Agents; D000077324:Crystalloid Solutions; D007552:Isotonic Solutions; D014148:Tranexamic Acid; D004837:Epinephrine
keywords: Anaesthesia; Anaphylaxis; Hyperfibrinolysis; Pregnancy; ROTEM; Thromboelastometry