| Title: | Management of suspected immediate perioperative allergic reactions : an international overview and consensus recommendations |
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| Authors: | ID Garvey, Lene Heise (Author)
ID Dewachter, Pascale (Author)
ID Hepner, David L. (Author)
ID Mertes, Paul Michel (Author)
ID Voltolini, Susanna (Author)
ID Clarke, Russel C. (Author)
ID Cooke, Peter J. (Author)
ID Garcez, Tomaz (Author)
ID Guttormsen, Anne Berit (Author)
ID Ebo, Didier G. (Author)
ID Hopkins, Philip M. (Author)
ID Kopač, Peter, Klinika Golnik, Medicinska fakulteta UL (Author) |
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| Files: |  URL - Source URL, visit https://bjanaesthesia.org/article/S0007-0912(19)30329-0/fulltext
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| Language: | English |
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| Typology: | 1.02 - Review Article |
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| Organization: |  UKPBAG - University Clinic of Respiratory and Allergic Diseases Golnik
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| Abstract: | 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. |
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| Keywords: | 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 |
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| Publication status: | Published |
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| Publication version: | Version of Record |
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| Place of publishing: | Velika Britanija |
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| Publisher: | Elsevier |
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| Year of publishing: | 2019 |
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| Number of pages: | str. e50-e64 |
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| Numbering: | Vol. 123, iss. 1 |
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| PID: | 20.500.12556/DiRROS-12542  |
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| UDC: | 616-097 |
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| ISSN on article: | 1471-6771 |
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| DOI: | 10.1016/j.bja.2019.04.044 |
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| COBISS.SI-ID: | 2048510577 |
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| Copyright: | © 2019 British Journal of Anaesthesia |
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| Note: | Soavtor iz Slovenije: Peter Kopac;
Nasl. z nasl. zaslona;
Opis vira z dne 5. 6. 2019;
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| Publication date in DiRROS: | 09.10.2020 |
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| Views: | 1375 |
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| Downloads: | 421 |
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