Les particularités de l’anesthésie générale chez le patient asthmatique

Malinovsky, Jean‐Marc; Lavaud, F.; Mertès, P. M.

doi:10.1016/j.reval.2011.02.001

Cited by 1 publication

(2 citation statements)

References 72 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The recommendation will be to avoid the agent identified as allergic and those with crossreactivity. In these cases pre-treatment is not useful to prevent a new reaction [154]. The recommendations will depend on the culprit drug:…”

Section: Recomendations After the Allergological Studymentioning

confidence: 99%

“…Although a great cross-reactivity exists between muscle relaxants (65% if the reaction was induced by rocuronium and 29% for succinilcoline) [155] the sensitization to all of them is low [146] (grade of recommendation, C). If this is the case and all NMBAs give positive STs and/or BAT one might consider a loco regional anaesthesia or a tracheal intubation after anaesthetic induction using inhalant agents or combinations of opioids and hypnotics (midazolam, propofol, fentanyl) plus local anaesthetics such as lidocaine [154][155][156] (grade of recommendation, D).…”

Section: Recomendations After the Allergological Studymentioning

confidence: 99%

See 1 more Smart Citation

Practical Guidelines for Perioperative Hypersensitivity Reactions

Laguna¹,

Archilla²,

Doña³

et al. 2018

J Investig Allergol Clin Immunol

105

View full text Add to dashboard Cite

Perioperative hypersensitivity reactions constitute a first-line problem for anesthesiologists and allergists, so it is advisable that hospitals have a consensus protocol for the diagnosis and management of these reactions. However, this kind of protocols is not present in many hospitals, leading to problems in treatment, the communication of incidents and subsequent etiological diagnosis. In this document we present a systematic review of the available scientific evidence and provide general guidelines for the management of acute episodes and Resumen:Las reacciones de hipersensibilidad perioperatorias constituyen un problema de primera línea para los anestesiólogos y alergólogos, por lo que es recomendable que los hospitales tengan un protocolo de consenso para el diagnóstico y el tratamiento de estas reacciones. Sin embargo, este tipo de protocolos no está presente en muchos hospitales, lo que conlleva problemas en el tratamiento, la comunicación de incidentes y el posterior diagnóstico etiológico. Este documento ha sido creado por miembros del Comité de Alergia a Medicamentos de la Sociedad Española de Alergia e Inmunología Clínica (SEAIC) en colaboración con miembros de la Sociedad Española de Anestesia (SEDAR). Se ha realizado una revisión sistemática de la evidencia científica disponible y se proporcionan pautas generales para el manejo de episodios agudos y para la derivación de pacientes con reacciones de hipersensibilidad perioperatoria a los Servicios de Alergología. Se propone un algoritmo práctico para el diagnóstico etiológico y se brindan recomendaciones para el manejo de pacientes con reacciones alérgicas perioperatorias.

show abstract

Section: Recomendations After the Allergological Studymentioning

confidence: 99%

Section: Recomendations After the Allergological Studymentioning

confidence: 99%