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Current Allergy and Asthma Reports

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01.06.2020 | Pediatric Allergy and Immunology (W Dolen, Section Editor)

Pediatric Patients with Previous Anaphylactic Reactions to General Anesthesia: a Review of Literature, Case Report, and Anesthetic Considerations

verfasst von: Manjiao Ma, Bo Zhu, Jing Zhao, Hongyi Li, Lian Zhou, Mu Wang, Xiuhua Zhang, Yuguang Huang

Erschienen in: Current Allergy and Asthma Reports | Ausgabe 6/2020

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Abstract

Purpose of Review

It is rare to see pediatric patients with previous perioperative anaphylaxis receiving future anesthesia, but it is critical to understand how to choose assessments, interpret the results, and develop a future anesthetic plan.

Recent Findings

Analysis of the results revealed that patients, at any age, regardless of sex and nationality, and the number of surgeries, have the risk of perioperative anaphylaxis while the risk of allergy increases as patients present multiple surgical events or have a previous history of atopy. 94.7% of pediatric patients with allergy testing after perioperative anaphylaxis tolerated subsequent general anesthesia without complications. Specific IgE tests, basophil activation tests, and skin tests are not available and suitable for all culprits. The early skin test could be considered a supplement for later testing. Drug challenge test is the golden standard but can only be used as the last resort. If general anesthesia is inevitable, avoidance of the culprit and use of alternative agents can help the patients prevent another potential recurrence. Full use of inhalation anesthesia without unnecessary neuromuscular blockade agents and avoidance of latex is recommended when the surgery is urgent or skin tests for children cannot be performed in time.

Summary

This review summarizes characteristics of perioperative pediatric anaphylaxis, main tests for various drugs, and their sensitivities and specificities as well as recommendations as to how to implement safe anesthesia in the future.

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Titel: Pediatric Patients with Previous Anaphylactic Reactions to General Anesthesia: a Review of Literature, Case Report, and Anesthetic Considerations
verfasst von: Manjiao Ma
Bo Zhu
Jing Zhao
Hongyi Li
Lian Zhou
Mu Wang
Xiuhua Zhang
Yuguang Huang
Publikationsdatum: 01.06.2020
Verlag: Springer US
Erschienen in: Current Allergy and Asthma Reports / Ausgabe 6/2020
Print ISSN: 1529-7322
Elektronische ISSN: 1534-6315
DOI: https://doi.org/10.1007/s11882-020-00911-x

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Pediatric Patients with Previous Anaphylactic Reactions to General Anesthesia: a Review of Literature, Case Report, and Anesthetic Considerations

Abstract

Purpose of Review

Recent Findings

Summary

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Intrakapsuläre Tonsillektomie gewinnt an Boden

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Springer Medizin

Abstract

Purpose of Review

Recent Findings

Summary

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Neu im Fachgebiet HNO

HNO-Op. auch mit über 90?

Intrakapsuläre Tonsillektomie gewinnt an Boden

Bilateraler Hörsturz hat eine schlechte Prognose

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

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