Management of suspected immediate perioperative allergic reactions: an international overview and consensus recommendations
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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Management of suspected immediate perioperative allergic reactions : an international overview and consensus recommendations. / Garvey, Lene H.; Dewachter, Pascale; Hepner, David L.; Mertes, Paul Michel; Voltolini, Susanna; Clarke, Russell; Cooke, Peter; Garcez, Tomaz; Guttormsen, Anne Berit; Ebo, Didier G.; Hopkins, Philip M.; Khan, David A.; Kopac, Peter; Krøigaard, Mogens; Laguna, Jose Julio; Marshall, Stuart; Platt, Peter; Rose, Michael; Sabato, Vito; Sadleir, Paul; Savic, Louise; Savic, Sinisa; Scherer, Kathrin; Takazawa, Tomonori; Volcheck, Gerald W.; Kolawole, Helen.
I: British Journal of Anaesthesia, Bind 123, Nr. 1, 2019, s. e50-e64.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Management of suspected immediate perioperative allergic reactions
T2 - an international overview and consensus recommendations
AU - Garvey, Lene H.
AU - Dewachter, Pascale
AU - Hepner, David L.
AU - Mertes, Paul Michel
AU - Voltolini, Susanna
AU - Clarke, Russell
AU - Cooke, Peter
AU - Garcez, Tomaz
AU - Guttormsen, Anne Berit
AU - Ebo, Didier G.
AU - Hopkins, Philip M.
AU - Khan, David A.
AU - Kopac, Peter
AU - Krøigaard, Mogens
AU - Laguna, Jose Julio
AU - Marshall, Stuart
AU - Platt, Peter
AU - Rose, Michael
AU - Sabato, Vito
AU - Sadleir, Paul
AU - Savic, Louise
AU - Savic, Sinisa
AU - Scherer, Kathrin
AU - Takazawa, Tomonori
AU - Volcheck, Gerald W.
AU - Kolawole, Helen
PY - 2019
Y1 - 2019
N2 - 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.
AB - 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.
KW - allergy
KW - anaesthesia
KW - Delphi process
KW - epinephrine
KW - guideline
KW - hypersensitivity reaction
KW - perioperative anaphylaxis
KW - testing
U2 - 10.1016/j.bja.2019.04.044
DO - 10.1016/j.bja.2019.04.044
M3 - Journal article
C2 - 31130272
AN - SCOPUS:85064824261
VL - 123
SP - e50-e64
JO - British Journal of Anaesthesia
JF - British Journal of Anaesthesia
SN - 0007-0912
IS - 1
ER -
ID: 228493116