The Preoperative Detection of Risk of Anaphylaxis during Anaesthesia
| Autor: | M. McD. Fisher |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Allergy
Critical Care and Intensive Care Medicine 03 medical and health sciences 0302 clinical medicine Risk Factors Immunopathology Preoperative Care medicine Humans 030212 general & internal medicine Risk factor Elective surgery Adverse effect Anaphylaxis Referral and Consultation Anesthetics Skin Tests business.industry Medical record 030208 emergency & critical care medicine medicine.disease Anesthesiology and Pain Medicine Anesthesia Opiate business Food Hypersensitivity |
| Zdroj: | Anaesthesia and Intensive Care. 35:899-902 |
| ISSN: | 1448-0271 0310-057X |
| DOI: | 10.1177/0310057x0703500607 |
| Popis: | In 144 patients who were referred to an anaesthetic allergy clinic because of perceived risk of anaphylaxis during anaesthesia, the only ‘at risk’ group that could be identified was patients with a history of unexplained severe adverse reaction during previous anaesthesia. Twenty-two of 45 patients with such a history had positive skin tests to an anaesthetic drug. Twenty-one positive tests were to neuromuscular blocking drugs and one to an opiate. In 18 of these patients the medical records were available and an adverse event had been recorded consistent with anaphylaxis. On the contrary, investigation of patients without a previous adverse reaction did not appear to be of value. These findings suggest that those patients with a history of a severe undiagnosed adverse event during previous anaesthesia should be investigated with preoperative skin-testing before undergoing further elective surgery. |
| Databáze: | OpenAIRE |
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