Emergency treatment of peri‐operative anaphylaxis: Resuscitation Council UK algorithm for anaesthetists

Author:

Dodd A.1ORCID,Turner P. J.2ORCID,Soar J.3ORCID,Savic L.4ORCID,

Affiliation:

1. Department of Anaesthesia Southmead Hospital, North Bristol NHS Trust Bristol UK

2. Department of Paediatric Allergy and Clinical Immunology National Heart and Lung Institute, Imperial College London UK

3. Department of Anaesthesia and Intensive Care Medicine Southmead Hospital, North Bristol NHS Trust Bristol UK

4. Department of Anaesthesia Leeds Teaching Hospitals NHS Trust Leeds UK

Abstract

SummaryPeri‐operative anaphylaxis is a rare but potentially catastrophic event which must be considered whenever unexpected and significant cardiovascular or respiratory compromise occurs during anaesthesia. The Resuscitation Council UK algorithm for peri‐operative anaphylaxis highlights the importance of early intravenous adrenaline and fluid resuscitation and provides guidance on the treatment of refractory anaphylaxis and immediate follow‐up. This algorithm is endorsed by the Royal College of Anaesthetists, Association of Anaesthetists, British Society of Allergy and Clinical Immunology and Clinical Immunology Professional Network of the British Society for Immunology. This document was produced by the Perioperative Allergy Network steering committee in collaboration with the Resuscitation Council UK.

Publisher

Wiley

Reference39 articles.

1. Resuscitation Council UK.Emergency treatment of anaphylaxis: guidelines for healthcare providers. 2021.https://www.resus.org.uk/library/additional‐guidance/guidance‐anaphylaxis/emergency‐treatment(accessed 24/08/2023).

2. Management of suspected immediate perioperative allergic reactions: an international overview and consensus recommendations

3. An EAACI position paper on the investigation of perioperative immediate hypersensitivity reactions

4. Association of Anaesthetists.Quick Reference Handbook. Anaphylaxis. 2022.www.anaesthetists.org/qrh(accessed 24/08/2023).

5. Comparative epidemiology of suspected perioperative hypersensitivity reactions

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