Practical Guidelines for Perioperative Hypersensitivity Reactions

被引：79

作者：

Laguna, J. J. ^{[1
,2
]}

Archilla, J. ^{[3
]}

Dona, I ^{[4
]}

Corominas, M. ^{[5
]}

Gastaminza, G. ^{[6
]}

Mayorga, C. ^{[4
]}

Berjes-Gimeno, P. ^{[7
]}

Tornero, P. ^{[8
]}

Martin, S. ^{[3
]}

Planas, A. ^{[9
]}

Moreno, E. ^{[10
]}

Torres, M. J. ^{[4
]}

机构：

[1] Hosp Cent Cruz Roja, Allergy Unit, Madrid, Spain

[2] Hosp Cent Cruz Roja, Allergy Anesthesia Unit, Madrid, Spain

[3] Hosp Cent Cruz Roja, Anesthesia Unit, Madrid, Spain

[4] Malaga Reg Univ Hosp IBIMA, Allergy Unit, Malaga, Spain

[5] Hosp Univ Bellvitge IDIBELL, Internal Med Dept, Allergy Unit, Lhospitalet De Llobregat, Spain

[6] Clin Univ Navarra, Allergy & Clin Immunol Dept, Navarra, Spain

[7] Univ Hosp Ramon y Cajal, Allergy Unit, Madrid, Spain

[8] Univ Hosp Gregorio Maranon, Allergy Unit, Madrid, Spain

[9] Univ Hosp La Princesa, Anesthesia Unit, Madrid, Spain

[10] Salamanca Univ Hosp IBSAL, Allergy Unit, Antiguo Edificio Maternidad, Salamanca 37007, Spain

来源：

JOURNAL OF INVESTIGATIONAL ALLERGOLOGY AND CLINICAL IMMUNOLOGY | 2018年 / 28卷 / 04期

关键词：

Anesthesia; Allergy; Anaphylaxis; Hypersensitivity; Perioperative; Skin tests; Tryptase; NEUROMUSCULAR BLOCKING-AGENTS; ANAPHYLACTIC REACTIONS; MUSCLE-RELAXANTS; METHYLENE-BLUE; DRUG HYPERSENSITIVITY; ALLERGIC REACTIONS; IGE ANTIBODIES; SINGLE-CENTER; FOLLOW-UP; INTRAOPERATIVE ANAPHYLAXIS;

D O I：

10.18176/jiaci.0236

中图分类号：

R392 [医学免疫学];

学科分类号：

100102 ;

摘要：

Perioperative hypersensitivity reactions constitute a first-line problem for anesthesiologists and allergists. Therefore, hospitals should have a consensus protocol for the diagnosis and management of these reactions. However, this kind of protocol is not present in many hospitals, leading to problems with treatment, reporting of incidents, and subsequent etiological diagnosis. In this document, we present a systematic review of the available scientific evidence and provide general guidelines for the management of acute episodes and for referral of patients with perioperative hypersensitivity reactions to allergy units. Members of the Drug Allergy Committee of the Spanish Society of Allergy and Clinical Immunology (SEAIC) have created this document in collaboration with members of the Spanish Anesthesia Society (SEDAR). A practical algorithm is proposed for the etiologic diagnosis, and recommendations are provided for the management of hypersensitive patients.

引用

页码：216 / 232

页数：17

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