Perioperative anaphylaxis
| Autor: | P.M. Mertes, K. Tajima, M.A. Regnier-Kimmoun, M. Lambert, G. Iohom, R.M. Guéant-Rodriguez, J.M. Malinovsky |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Serine Proteinase Inhibitors
Epinephrine Latex Anti-Inflammatory Agents Non-Steroidal General Medicine Immunoglobulin E Adrenergic Agonists Anti-Bacterial Agents Basophils Analgesics Opioid Aprotinin Risk Factors Fluid Therapy Humans Hypnotics and Sedatives Anesthesia Tryptases Anesthetics Local Neuromuscular Blocking Agents Intraoperative Complications Anaphylaxis Skin Tests |
| Zdroj: | The Medical clinics of North America. 94(4) |
| ISSN: | 1557-9859 |
| Popis: | The incidence of immune-mediated anaphylaxis during anesthesia ranges from 1 in 10,000 to 1 in 20,000. Neuromuscular blocking agents are most frequently incriminated, followed by latex and antibiotics, although any drug or substance used may be a culprit. Diagnosis relies on tryptase measurements at the time of the reaction and skin tests, specific immunoglobulin E, or basophil activation assays. Treatment consists of rapid volume expansion and epinephrine administration titrated to symptom severity. |
| Databáze: | OpenAIRE |
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