Identification and Management of Perioperative Anaphylaxis.
Aged
Airway Management
Analgesics, Opioid
/ adverse effects
Anaphylaxis
/ chemically induced
Anti-Bacterial Agents
/ adverse effects
Anti-Infective Agents, Local
/ adverse effects
Antibiotic Prophylaxis
Bacitracin
/ adverse effects
Bronchodilator Agents
/ therapeutic use
Chlorhexidine
/ adverse effects
Colloids
/ adverse effects
Coloring Agents
/ adverse effects
Drug Hypersensitivity
/ diagnosis
Epinephrine
/ therapeutic use
Fluid Therapy
Glucocorticoids
/ therapeutic use
Humans
Hypnotics and Sedatives
/ adverse effects
Immunoglobulin E
/ metabolism
Intradermal Tests
Latex Hypersensitivity
/ diagnosis
Male
Neuromuscular Blocking Agents
/ adverse effects
Oxygen Inhalation Therapy
Perioperative Period
Povidone-Iodine
/ adverse effects
Recurrence
Skin Tests
Sugammadex
/ adverse effects
Sympathomimetics
/ therapeutic use
Transfusion Reaction
Tryptases
/ metabolism
Anaphylaxis
Anesthesia
Hypersensitivity reactions
Intraoperative
Perioperative period
Journal
The journal of allergy and clinical immunology. In practice
ISSN: 2213-2201
Titre abrégé: J Allergy Clin Immunol Pract
Pays: United States
ID NLM: 101597220
Informations de publication
Date de publication:
Historique:
received:
25
03
2019
revised:
15
05
2019
accepted:
17
05
2019
pubmed:
4
6
2019
medline:
15
9
2020
entrez:
3
6
2019
Statut:
ppublish
Résumé
The authors present a case of a patient with multiple episodes of perioperative anaphylaxis. The incidence and the most common causes of perioperative anaphylaxis are reviewed. The most common causes can vary by country and the type of perioperative medications used. The unique environment and the multiple medications and substances used in the anesthesia and surgical setting that make a definitive diagnosis challenging are outlined. A systematic strategy to recognize the reaction, identify the culprit, and direct future management are demonstrated. Management of the patient experiencing perioperative anaphylaxis requires close collaboration between the anesthesia, surgical, and allergy teams.
Identifiants
pubmed: 31154032
pii: S2213-2198(19)30490-8
doi: 10.1016/j.jaip.2019.05.033
pii:
doi:
Substances chimiques
Analgesics, Opioid
0
Anti-Bacterial Agents
0
Anti-Infective Agents, Local
0
Bronchodilator Agents
0
Colloids
0
Coloring Agents
0
Glucocorticoids
0
Hypnotics and Sedatives
0
Neuromuscular Blocking Agents
0
Sympathomimetics
0
Bacitracin
1405-87-4
Sugammadex
361LPM2T56
Immunoglobulin E
37341-29-0
Povidone-Iodine
85H0HZU99M
Tryptases
EC 3.4.21.59
Chlorhexidine
R4KO0DY52L
Epinephrine
YKH834O4BH
Types de publication
Case Reports
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
2134-2142Informations de copyright
Copyright © 2019 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.