anafilaxia y anestesia

Seguimiento después de anafilaxia por anestesia Follow-up after anaesthetic anaphylaxis. Fisher MM, Jones K, Rose M. Intensive Care Unit, Royal North Shore Hospital, St Leonards, New South Wales, Australia. mfisher@med.usyd.edu.au Acta Anaesthesiol Scand. 2011 Jan;55(1):99-103. doi: 10.1111/j.1399-6576.2010.02326.x. Epub 2010 Oct 13. Abstract background: the anaesthetic allergy clinic has been established at our institution for 30 years. Our practice has been to give patients a letter detailing the results of their investigations to pass on to subsequent anaesthetists. Our aims were to assess the adequacy of this letter in ensuring this vital communication, and to quantify the effectiveness of our recommendations on the safety of future anaesthesia. METHODS: a project was undertaken to contact 606 previous clinic patients living in New South Wales by using last known addresses on our database, public telephone listing and local doctors. The review also involved collecting information, where available, about subsequent anaesthesia and the adequacy of information transfer about medications given safely or otherwise at this time. RESULTS: of 606 patients, 246 were contactable. Of these, 183 had been anaesthetised subsequently, all safely. It was found that in only 11 cases had the patient's clinic letter been updated with the information from subsequent anaesthesia. We updated the letters of 82 patients with new information to improve the safety of drug selection for future anaesthesia. CONCLUSIONS: although clinic testing allowed a high degree of safety in subsequent anaesthesia, it is evident that there is a need for systems to be implemented to improve the flow of patient anaesthetic allergy information after subsequent anaesthesia. http://onlinelibrary.wiley.com/doi/10.1111/j.1399-6576.2010.02326.x/pdf    Anafilaxia causada por guantes quirúrgicos de látex inmediatamente después de iniciar cirugía. Informe de un caso Anaphylaxis caused by latex surgical gloves immediately after starting surgery -A case report- Min Jeong Lee, Sang-Hwan Do, Hyo-Seok Na, Mi-Hyun Kim, Young-Tae Jeon, and Jung-Won Hwang. Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea. Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea Korean J Anesthesiol. 2010 Dec;59(Suppl):S99-S102. Published online 2010 December 31.  doi: 10.4097/kjae.2010.59.S.S99 Anaphylaxis is an acute and fatal systemic allergic reaction to an allergen, and it can be an unpredictable and life-threatening cause during anesthesia. Latex is the second most common cause of anaphylaxis following the use of neuromuscular blocking agents during general anesthesia or surgery. We report on a 67-year-old male who had undergone surgery under general anesthesia without any problem but who presented with severe intraoperative anaphylaxis to latex surgical gloves. This case emphasizes the need for anesthesiologists to quickly diagnose and properly manage an allergic reaction in patients under general anesthesia. Keywords: Anaphylaxis, General anesthesia, Latex http://ekja.org/Synapse/Data/PDFData/0011KJAE/kjae-59-S99.pdf

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