Garvey, LH, Dewachter, P, Hepner, DL et al. (23 more authors) (2019) Management of suspected immediate perioperative allergic reactions: an international overview and consensus recommendations. British Journal of Anaesthesia, 123 (1). e50-e64. ISSN 0007-0912
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.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Keywords: | allergy; anaesthesia; Delphi process; epinephrine; guideline; hypersensitivity reaction; perioperative anaphylaxis; testing |
Dates: |
|
Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Inst of Biomed & Clin Sciences (LIBACS) (Leeds) > Trans Anaesthetics & Surgical Sciences (Leeds) The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Institute of Rheumatology & Musculoskeletal Medicine (LIRMM) (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 06 Jun 2019 11:45 |
Last Modified: | 24 Jun 2019 09:43 |
Status: | Published |
Publisher: | Elsevier |
Identification Number: | 10.1016/j.bja.2019.04.044 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:146974 |