ǂa ǂnarrative review
Pascale Dewachter (Avtor), Peter Kopač (Avtor), Jose Julio Laguna (Avtor), Paul Michel Mertes (Avtor), V. Sabato (Avtor), Gerald W. Volcheck (Avtor), Peter J. Cooke (Avtor)

Povzetek

This narrative review seeks to distinguish the clinical patterns of pre-existing allergic conditions from other confounding non-allergic clinical entities, and to identify the potential related risks and facilitate their perioperative management. Follow-up investigation should be performed after a perioperative immediate hypersensitivity to establish a diagnosis and provide advice for subsequent anaesthetics, the main risk factor for perioperative immunoglobulin E (IgE)-mediated anaphylaxis being a previous uninvestigated perioperative immediate hypersensitivity reaction. The concept of cross-reactivity between drugs used in the perioperative setting and food is often quoted, but usually not supported by evidence. There is no reason to avoid propofol in egg, soy, or peanut allergy. The allergenic determinants have been characterised for fish, shellfish, and povidone iodine, but remain unknown for iodinated contrast agents. Iodinated drugs may be used in seafood allergy. Evidence supporting the risk for protamine allergy in fish allergy and in neutral protamine Hagedorn insulin use is lacking. Conversely, cross-reactivity to gelatin-based colloid may occur in agal syndrome. Atopy and allergic asthma along with other non-allergic conditions, such as NSAID-exacerbated respiratory disease, chronic urticaria, mastocytosis, and hereditary or acquired angioedema, are not risk factors for IgEmediated drug allergy, but there is a perioperative risk associated with the potential for exacerbation of the various conditions.

Ključne besede

neželeni učinki;adverse effects;

Podatki

Jezik: Angleški jezik
Leto izida:
Tipologija: 1.02 - Pregledni znanstveni članek
Založnik: Elsevier
UDK: 616-097
COBISS: 2048508785 Povezava se bo odprla v novem oknu
ISSN: 1471-6771
Matična publikacija: British journal of anaesthesia
Št. ogledov: 856
Št. prenosov: 322
Ocena: 0 (0 glasov)
Metapodatki: JSON JSON-RDF JSON-LD TURTLE N-TRIPLES XML RDFA MICRODATA DC-XML DC-RDF RDF

Ostali podatki

Sekundarne ključne besede: Allergy and immunology;Drug hypersensitivity;Food hypersensitivity;Hypersensitivity, immediate;Anaphylaxis;Anesthesia;Drug-related side effects and adverse reactions;Perioperative period;Alergija in imunologija;Preobčutljivost za zdravila;Preobčutljivost za hrano;Takojšnja preobčutljivost;Anafilaksija;Anestezija;Stranski in škodljivi učinki zdravil;Perioperativno obdobje;
Komentar vira: Soavtor iz Slovenije: Peter Kopac; Nasl. z nasl. zaslona; Opis vira z dne 3. 6. 2019;
Strani: str. e65-e81
Letnik: ǂVol. ǂ123
Zvezek: ǂiss. ǂ1
Čas izdaje: Jul. 2019
DOI: 10.1016/j.bja.2019.01.020
ID: 12080811