20.500.12556/DiRROS-12542
Management of suspected immediate perioperative allergic reactions : an international overview and consensus recommendations
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.
allergy and immunology
drug hypersensitivity
anesthesia
drug-related side effects and adverse reactions
anaphylaxis
epinephrine
Delphi technique
perioperative period
allergic reactions
hypersensitivity reaction
adrenaline
perioperative anaphylaxis
allergy testing
guideline
alergija in imunologija
preobčutljivost za zdravila
anestezija
stranski in škodljivi učinki zdravil
anafilaksija
adrenalin
Delfska študija
perioperativno obdobje
alergijske reakcije
preobčutljivostna reakcija
epinefrin
perioperativna anafilaksija
alergijsko testiranje
smernica
true
false
true
Elsevier
Angleški jezik
Ni določen
© 2019 British Journal of Anaesthesia
Neznano
2020-10-09 14:29:47
2020-10-09 14:29:47
2022-08-18 03:38:01
0000-00-00 00:00:00
2019
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Velika Britanija
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Soavtor iz Slovenije: Peter Kopac;
Nasl. z nasl. zaslona;
Opis vira z dne 5. 6. 2019;
str. e50-e64
iss. 1
Vol. 123
Jul. 2019
0000-00-00
Zaloznikova
Objavljeno
NiDoloceno
0000-00-00
0000-00-00
0000-00-00
616-097
1471-6771
10.1016/j.bja.2019.04.044
2048510577
515369241
https://bjanaesthesia.org/article/S0007-0912(19)30329-0/fulltext
1
https://dirros.openscience.si/Dokument.php?lang=slv&id=15242
Univerzitetna klinika za pljučne bolezni in alergijo Golnik
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