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    Perioperative anaphylaxis.

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    Authors
    Mertes, P M
    Tajima, K
    Regnier-Kimmoun, M A
    Lambert, M
    Iohom, G
    Guéant-Rodriguez, R M
    Malinovsky, J M
    Affiliation
    Service d'Anesthésie-Réanimation Chirurgicale, CHU de Nancy, Hôpital Central, 29 Avenue de Lattre de Tassigny, 54035 Nancy Cedex, France. pm.mertes@chu-nancy.fr
    Issue Date
    2010-07
    MeSH
    Adrenergic Agonists
    Analgesics, Opioid
    Anaphylaxis
    Anesthesia
    Anesthetics, Local
    Anti-Bacterial Agents
    Anti-Inflammatory Agents, Non-Steroidal
    Aprotinin
    Basophils
    Epinephrine
    Fluid Therapy
    Humans
    Hypnotics and Sedatives
    Immunoglobulin E
    Intraoperative Complications
    Latex
    Neuromuscular Blocking Agents
    Risk Factors
    Serine Proteinase Inhibitors
    Skin Tests
    Tryptases
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    Citation
    Perioperative anaphylaxis. 2010, 94 (4):761-89, xi Med. Clin. North Am.
    Publisher
    Elsevier
    Journal
    The Medical clinics of North America
    URI
    http://hdl.handle.net/10147/200263
    DOI
    10.1016/j.mcna.2010.04.002
    PubMed ID
    20609862
    Abstract
    The incidence of immune-mediated anaphylaxis during anesthesia ranges from 1 in 10,000 to 1 in 20,000. Neuromuscular blocking agents are most frequently incriminated, followed by latex and antibiotics, although any drug or substance used may be a culprit. Diagnosis relies on tryptase measurements at the time of the reaction and skin tests, specific immunoglobulin E, or basophil activation assays. Treatment consists of rapid volume expansion and epinephrine administration titrated to symptom severity.
    Item Type
    Article
    Language
    en
    ISSN
    1557-9859
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.mcna.2010.04.002
    Scopus Count
    Collections
    Cork University Hospital

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