Management or suspected immediate perioperative allergic reactions: an international overview and consensus recommendations
| Autor: | Tomonori Takazawa, Peter Kopac, Stuart Marshall, Tomaz Garcez, Susanna Voltolini, Lene H. Garvey, Helen Kolawole, P. H. M. Sadleir, Sinisa Savic, Peter R. Platt, Michael Rose, David L. Hepner, Didier G. Ebo, Anne Berit Guttormsen, Vito Sabato, L. Savic, Paul-Michel Mertes, Kathrin Scherer, Jose Julio Laguna, Pascale Dewachter, Gerald W. Volcheck, Mogens Krøigaard, Peter J. Cooke, David A. Khan, R. C. Clarke, Philip M. Hopkins |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Hypersensitivity
Immediate Allergy Internationality perioperativna anafilaksija Delphi method adrenalin 0302 clinical medicine Postoperative Complications 030202 anesthesiology Delphi technique smernica Intraoperative Complications allergy testing perioperative anaphylaxis Standard treatment alergijsko testiranje alergija in imunologija alergijske reakcije anafilaksija allergy and immunology preobčutljivost za zdravila stranski in škodljivi učinki zdravil guideline Anaphylaxis medicine.medical_specialty epinefrin perioperative period perioperativno obdobje udc:616-097 hypersensitivity reaction anesthesia allergic reactions anestezija 03 medical and health sciences anaphylaxis medicine Humans epinephrine Dosing Intensive care medicine adrenaline business.industry preobčutljivostna reakcija Perioperative Guideline medicine.disease Delfska študija Anesthesiology and Pain Medicine drug-related side effects and adverse reactions Allergists Human medicine business drug hypersensitivity |
| Zdroj: | British journal of anaesthesia British journal of anaesthesia, vol. 123, no. 1, pp. e50-e64, 2019. |
| ISSN: | 0007-0912 1471-6771 |
| Popis: | Suspected perioperative allergic reactions are rare but can be life-threatening. The diagnosis is difficult to make in the perioperative setting, but prompt recognition and correct treatment is necessary to ensure a good outcome. A group of 26 international experts in perioperative allergy (anaesthesiologists, allergists, and immunologists) contributed to a modified Delphi consensus process, which covered areas such as differential diagnosis, management during and after anaphylaxis, allergy investigations, and plans for a subsequent anaesthetic. They were asked to rank the appropriateness of statements related to the immediate management of suspected perioperative allergic reactions. Statements were selected to represent areas where there is a lack of consensus in existing guidelines, such as dosing of epinephrine and fluids, the management of impending cardiac arrest, and reactions refractory to standard treatment. The results of the modified Delphi consensus process have been included in the recommendations on the management of suspected perioperative allergic reactions. This paper provides anaesthetists with an overview of relevant knowledge on the immediate and postoperative management of suspected perioperative allergic reactions based on current literature and expert opinion. In addition, it provides practical advice and recommendations in areas where consensus has been lacking in existing guidelines. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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