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Title:Anaesthetic management of patients with pre-existing allergic conditions : a narrative review
Authors:ID Dewachter, Pascale (Author)
ID Kopač, Peter, Klinika Golnik (Author)
ID Laguna, Jose Julio (Author)
ID Mertes, Paul Michel (Author)
ID Sabato, Vito (Author)
ID Volcheck, Gerald W. (Author)
ID Cooke, Peter J. (Author)
Files:URL URL - Source URL, visit https://bjanaesthesia.org/article/S0007-0912(19)30060-1/fulltext
 
Language:English
Typology:1.02 - Review Article
Organization:Logo UKPBAG - University Clinic of Respiratory and Allergic Diseases Golnik
Abstract:This narrative review seeks to distinguish the clinical patterns of pre-existing allergic conditions from other confounding non-allergic clinical entities, and to identify the potential related risks and facilitate their perioperative management. Follow-up investigation should be performed after a perioperative immediate hypersensitivity to establish a diagnosis and provide advice for subsequent anaesthetics, the main risk factor for perioperative immunoglobulin E (IgE)-mediated anaphylaxis being a previous uninvestigated perioperative immediate hypersensitivity reaction. The concept of cross-reactivity between drugs used in the perioperative setting and food is often quoted, but usually not supported by evidence. There is no reason to avoid propofol in egg, soy, or peanut allergy. The allergenic determinants have been characterised for fish, shellfish, and povidone iodine, but remain unknown for iodinated contrast agents. Iodinated drugs may be used in seafood allergy. Evidence supporting the risk for protamine allergy in fish allergy and in neutral protamine Hagedorn insulin use is lacking. Conversely, cross-reactivity to gelatin-based colloid may occur in agal syndrome. Atopy and allergic asthma along with other non-allergic conditions, such as NSAID-exacerbated respiratory disease, chronic urticaria, mastocytosis, and hereditary or acquired angioedema, are not risk factors for IgEmediated drug allergy, but there is a perioperative risk associated with the potential for exacerbation of the various conditions.
Keywords:allergy and immunology, drug hypersensitivity, food hypersensitivity, immediate hypersensitivity, anaphylaxis, anesthesia, drug-related side effects and adverse reactions, perioperative period, adverse effects
Publication status:Published
Publication version:Version of Record
Place of publishing:Velika Britanija
Publisher:Elsevier
Year of publishing:2019
Number of pages:str. e65-e81
Numbering:Vol. 123, iss. 1
PID:20.500.12556/DiRROS-12586 New window
UDC:616-097
ISSN on article:1471-6771
DOI:10.1016/j.bja.2019.01.020 New window
COBISS.SI-ID:2048508785 New window
Copyright:© 2019 British Journal of Anaesthesia
Note:Soavtor iz Slovenije: Peter Kopac; Nasl. z nasl. zaslona; Opis vira z dne 3. 6. 2019;
Publication date in DiRROS:16.10.2020
Views:2050
Downloads:722
Metadata:XML DC-XML DC-RDF
:
DEWACHTER, Pascale, KOPAČ, Peter, LAGUNA, Jose Julio, MERTES, Paul Michel, SABATO, Vito, VOLCHECK, Gerald W. and COOKE, Peter J., 2019, Anaesthetic management of patients with pre-existing allergic conditions : a narrative review. British journal of anaesthesia [online]. 2019. Vol. 123, no. 1, p. e65–e81. [Accessed 25 April 2025]. DOI 10.1016/j.bja.2019.01.020. Retrieved from: https://bjanaesthesia.org/article/S0007-0912(19)30060-1/fulltext
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Record is a part of a journal

Title:British journal of anaesthesia
Shortened title:Br. j. anaesth.
Publisher:Oxford University Press.
ISSN:1471-6771
COBISS.SI-ID:515369241 New window

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License:Other
Description:Elsevier user licence
Licensing start date:12.03.2019

Secondary language

Language:Undetermined
Keywords:alergija in imunologija, preobčutljivost za zdravila, preobčutljivost za hrano, takojšnja preobčutljivost, anafilaksija, anestezija, stranski in škodljivi učinki zdravil, perioperativno obdobje, neželeni učinki


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