Perioperative anaphylaxis: diagnostic challenges and management

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Perioperative anaphylaxis : diagnostic challenges and management. / Savic, Louise C.; Garvey, Lene Heise.

In: Current Opinion in Anaesthesiology, Vol. 33, No. 3, 06.2020, p. 448-453.

Research output: Contribution to journalReviewResearchpeer-review

Harvard

Savic, LC & Garvey, LH 2020, 'Perioperative anaphylaxis: diagnostic challenges and management', Current Opinion in Anaesthesiology, vol. 33, no. 3, pp. 448-453. https://doi.org/10.1097/ACO.0000000000000857

APA

Savic, L. C., & Garvey, L. H. (2020). Perioperative anaphylaxis: diagnostic challenges and management. Current Opinion in Anaesthesiology, 33(3), 448-453. https://doi.org/10.1097/ACO.0000000000000857

Vancouver

Savic LC, Garvey LH. Perioperative anaphylaxis: diagnostic challenges and management. Current Opinion in Anaesthesiology. 2020 Jun;33(3):448-453. https://doi.org/10.1097/ACO.0000000000000857

Author

Savic, Louise C. ; Garvey, Lene Heise. / Perioperative anaphylaxis : diagnostic challenges and management. In: Current Opinion in Anaesthesiology. 2020 ; Vol. 33, No. 3. pp. 448-453.

Bibtex

@article{b5d841aff9e54e95a46a313f62302029,
title = "Perioperative anaphylaxis: diagnostic challenges and management",
abstract = "PURPOSE OF REVIEW: Perioperative hypersensitivity reactions can pose diagnostic and management challenges for the anaesthetist. Difficulties in diagnosing hypersensitivity reactions in the perioperative setting are highlighted and recommendations from recent guidelines on the acute management of life-threatening anaphylaxis are presented. RECENT FINDINGS: Anaesthetists play a key role in investigating perioperative hypersensitivity reactions. During a suspected perioperative hypersensitivity event, a serum tryptase level should be measured to help with subsequent allergy investigation. Moreover, anaesthetists can ensure that a high-quality referral is made to allergy clinics by providing thorough documentation of the events, detailing symptoms, treatments, and the chronology of drug administrations. SUMMARY: Perioperative hypersensitivity reactions are rare but can be life-threatening. A high index of suspicion should be maintained for their successful management. Whenever a perioperative hypersensitivity reaction is suspected, close collaboration between anaesthetist and the allergy team investigating the patient is paramount, in order for the patient to be appropriately investigated and have an uneventful anaesthetic in the future.",
author = "Savic, {Louise C.} and Garvey, {Lene Heise}",
year = "2020",
month = jun,
doi = "10.1097/ACO.0000000000000857",
language = "English",
volume = "33",
pages = "448--453",
journal = "Current Opinion in Anaesthesiology",
issn = "0952-7907",
publisher = "Lippincott Williams & Wilkins",
number = "3",

}

RIS

TY - JOUR

T1 - Perioperative anaphylaxis

T2 - diagnostic challenges and management

AU - Savic, Louise C.

AU - Garvey, Lene Heise

PY - 2020/6

Y1 - 2020/6

N2 - PURPOSE OF REVIEW: Perioperative hypersensitivity reactions can pose diagnostic and management challenges for the anaesthetist. Difficulties in diagnosing hypersensitivity reactions in the perioperative setting are highlighted and recommendations from recent guidelines on the acute management of life-threatening anaphylaxis are presented. RECENT FINDINGS: Anaesthetists play a key role in investigating perioperative hypersensitivity reactions. During a suspected perioperative hypersensitivity event, a serum tryptase level should be measured to help with subsequent allergy investigation. Moreover, anaesthetists can ensure that a high-quality referral is made to allergy clinics by providing thorough documentation of the events, detailing symptoms, treatments, and the chronology of drug administrations. SUMMARY: Perioperative hypersensitivity reactions are rare but can be life-threatening. A high index of suspicion should be maintained for their successful management. Whenever a perioperative hypersensitivity reaction is suspected, close collaboration between anaesthetist and the allergy team investigating the patient is paramount, in order for the patient to be appropriately investigated and have an uneventful anaesthetic in the future.

AB - PURPOSE OF REVIEW: Perioperative hypersensitivity reactions can pose diagnostic and management challenges for the anaesthetist. Difficulties in diagnosing hypersensitivity reactions in the perioperative setting are highlighted and recommendations from recent guidelines on the acute management of life-threatening anaphylaxis are presented. RECENT FINDINGS: Anaesthetists play a key role in investigating perioperative hypersensitivity reactions. During a suspected perioperative hypersensitivity event, a serum tryptase level should be measured to help with subsequent allergy investigation. Moreover, anaesthetists can ensure that a high-quality referral is made to allergy clinics by providing thorough documentation of the events, detailing symptoms, treatments, and the chronology of drug administrations. SUMMARY: Perioperative hypersensitivity reactions are rare but can be life-threatening. A high index of suspicion should be maintained for their successful management. Whenever a perioperative hypersensitivity reaction is suspected, close collaboration between anaesthetist and the allergy team investigating the patient is paramount, in order for the patient to be appropriately investigated and have an uneventful anaesthetic in the future.

U2 - 10.1097/ACO.0000000000000857

DO - 10.1097/ACO.0000000000000857

M3 - Review

C2 - 32371637

AN - SCOPUS:85084721679

VL - 33

SP - 448

EP - 453

JO - Current Opinion in Anaesthesiology

JF - Current Opinion in Anaesthesiology

SN - 0952-7907

IS - 3

ER -

ID: 242408210