Perioperative approach of allergic patients
| Autor: | Ingrid Terreehorst, Elke M.E. Bos Drs., Fabian O. Kooij, Vincent R. van Cuilenborg, Benedikt Preckel, Jeroen Hermanides, Markus W. Hollmann |
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| Rok vydání: | 2021 |
| Předmět: |
Allergy
medicine.medical_specialty perioperative allergy perioperative period Encephalopathy Perioperative Care Drug Hypersensitivity Anesthesia Procedure 03 medical and health sciences Patient safety 0302 clinical medicine Risk Factors 030202 anesthesiology Hypersensitivity medicine Humans Anesthesia Intensive care medicine Anaphylaxis Anesthetics business.industry Anaphylactic reaction Perioperative allergy medicine.disease Anti-Bacterial Agents Anesthesiology and Pain Medicine Allergists Neuromuscular Blocking Agents business 030217 neurology & neurosurgery |
| Zdroj: | Best Practice & Research Clinical Anaesthesiology. 35:11-25 |
| ISSN: | 1521-6896 |
| DOI: | 10.1016/j.bpa.2020.03.003 |
| Popis: | Perioperative allergic reactions are rare, yet important complications of anesthesia. Severe, generalized allergic reactions called anaphylaxis are estimated to have a mortality of 3.5–4.8%. Adequate recognition and handling of a severe perioperative anaphylactic reaction result in better outcomes, including less hypoxic-ischemic encephalopathy and death. The diagnosis of a perioperative allergic reaction can be difficult as the list of possible culprits of a perioperative allergic reaction is extensive. Making an informed guess on the causative agent and avoiding this agent in future anesthesia procedures is undesirable and unsafe. Therefore, to ensure future patient safety, a thorough investigation following a perioperative allergic reaction is mandatory. A collaborate approach by allergists and anesthesiologists is advised. In this article, we discuss the basic approach of the allergic patient and of patients with a suspected allergy to perioperatively administered medication. |
| Databáze: | OpenAIRE |
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