20.500.12556/DiRROS-12586 Anaesthetic management of patients with pre-existing allergic conditions : a narrative review 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. allergy and immunology drug hypersensitivity food hypersensitivity immediate hypersensitivity anaphylaxis anesthesia drug-related side effects and adverse reactions perioperative period adverse effects alergija in imunologija preobčutljivost za zdravila preobčutljivost za hrano takojšnja preobčutljivost anafilaksija anestezija stranski in škodljivi učinki zdravil perioperativno obdobje neželeni učinki true false true Elsevier Angleški jezik Ni določen © 2019 British Journal of Anaesthesia Neznano 2020-10-16 12:23:27 2020-10-16 12:23:28 2022-08-18 03:38:10 0000-00-00 00:00:00 2019 0 Velika Britanija 0 Soavtor iz Slovenije: Peter Kopac; Nasl. z nasl. zaslona; Opis vira z dne 3. 6. 2019; str. e65-e81 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.2019.01.020 2048508785 515369241 https://bjanaesthesia.org/article/S0007-0912(19)30060-1/fulltext 1 https://dirros.openscience.si/Dokument.php?lang=slv&id=15283 Univerzitetna klinika za pljučne bolezni in alergijo Golnik 0 0 0