Anesthetic management of chemonucleolysis with chymopapain.

Abstract:

:Chemonucleolysis and lumbar laminectomy after unsuccessful chemonucleolysis are now common and accepted surgical procedures that require precise perioperative management based on a thorough understanding of the pathophysiology of chymopapain-induced anaphylaxis and the herniating nucleus pulposus syndrome. Preoperative management with appropriate screening tests, antihistamines, and steroids, combined with thoughtful premedication and vigilant monitoring during local or general anesthesia, can provide safe anesthetic management of patients having chemonucleolysis with chymopapain.

journal_name

South Med J

journal_title

Southern medical journal

authors

Diaz JH,Connolly ES

doi

10.1097/00007611-198612000-00019

subject

Has Abstract

pub_date

1986-12-01 00:00:00

pages

1554-61

issue

12

eissn

0038-4348

issn

1541-8243

journal_volume

79

pub_type

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