Identification and Management of Perioperative Anaphylaxis.

Volcheck, Gerald W; Hepner, David L

Volcheck, Gerald W; Hepner, David L.

Afiliación

Volcheck GW; Division of Allergic Diseases, Department of Medicine, Mayo Medical School, Mayo Clinic, Rochester, Minn. Electronic address: Volcheck.gerald@mayo.edu.
Hepner DL; Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.

J Allergy Clin Immunol Pract ; 7(7): 2134-2142, 2019.

Article en En | MEDLINE | ID: mdl-31154032

RESUMEN

The authors present a case of a patient with multiple episodes of perioperative anaphylaxis. The incidence and the most common causes of perioperative anaphylaxis are reviewed. The most common causes can vary by country and the type of perioperative medications used. The unique environment and the multiple medications and substances used in the anesthesia and surgical setting that make a definitive diagnosis challenging are outlined. A systematic strategy to recognize the reaction, identify the culprit, and direct future management are demonstrated. Management of the patient experiencing perioperative anaphylaxis requires close collaboration between the anesthesia, surgical, and allergy teams.

Asunto(s)

Anafilaxia/inducido químicamente; Antiinfecciosos Locales/efectos adversos; Clorhexidina/efectos adversos; Hipersensibilidad a las Drogas/diagnóstico; Periodo Perioperatorio; Anciano; Manejo de la Vía Aérea; Analgésicos Opioides/efectos adversos; Anafilaxia/metabolismo; Anafilaxia/terapia; Antibacterianos/efectos adversos; Profilaxis Antibiótica; Bacitracina/efectos adversos; Broncodilatadores/uso terapéutico; Coloides/efectos adversos; Colorantes/efectos adversos; Hipersensibilidad a las Drogas/etiología; Hipersensibilidad a las Drogas/metabolismo; Epinefrina/uso terapéutico; Fluidoterapia; Glucocorticoides/uso terapéutico; Humanos; Hipnóticos y Sedantes/efectos adversos; Inmunoglobulina E/metabolismo; Pruebas Intradérmicas; Hipersensibilidad al Látex/diagnóstico; Masculino; Bloqueantes Neuromusculares/efectos adversos; Terapia por Inhalación de Oxígeno; Povidona Yodada/efectos adversos; Recurrencia; Pruebas Cutáneas; Sugammadex/efectos adversos; Simpatomiméticos/uso terapéutico; Reacción a la Transfusión; Triptasas/metabolismo

Palabras clave

Anaphylaxis; Anesthesia; Hypersensitivity reactions; Intraoperative; Perioperative period

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Clorhexidina / Hipersensibilidad a las Drogas / Periodo Perioperatorio / Anafilaxia / Antiinfecciosos Locales Tipo de estudio: Diagnostic_studies / Etiology_studies / Prognostic_studies Idioma: En Revista: J Allergy Clin Immunol Pract Año: 2019 Tipo del documento: Article Pais de publicación: Estados Unidos

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