Anafilaxia y anestesia / Anaphylaxis and anaesthesia

Abril 23, 2016. No. 2305

Anafilaxia perioperatoria Perioperative anaphylaxis. Berrío Valencia MI1. Braz J Anesthesiol. 2015 Jul-Aug;65(4):292-7. doi: 10.1016/j.bjane.2014.09.002. Epub 2015 Apr 28. Abstract BACKGROUND AND OBJECTIVE: Anaphylaxis remains one of the potential causes of perioperative death, being generally unanticipated and quickly progress to a life threatening situation. A narrative review of perioperative anaphylaxis is performed.CONTENT: The diagnostic tests are primarily to avoid further major events. The mainstays of treatment are adrenaline and intravenous fluids. CONCLUSION: The anesthesiologist should be familiar with the proper diagnosis, management and monitoring of perioperative anaphylaxis. PDF  Identificación de factores de riesgo para hipersensibilidad severa en anestesia general Identification of risk factors of severe hypersensitivity reactions in general anaesthesia. Mirone C1, Preziosi D1, Mascheri A1, Micarelli G1, Farioli L2, Balossi LG1, Scibilia J1, Schroeder J1, Losappio LM1, Aversano MG1, Stafylaraki C1, Nichelatti M3,Pastorello EA4. Clin Mol Allergy. 2015 Jun 22;13(1):11. doi: 10.1186/s12948-015-0017-9. eCollection 2015. Abstract BACKGROUND: Hypersensitivity reactions to anaesthetic agents are rare but often severe, with a mortality ranging from 4 to 9% in IgE-mediated events. Identification of the risk factors may contribute to limit the incidence of these reactions. The aim of our study was to search for possible risk factors of severe perioperative hypersensitivity reactions in our study population. CONCLUSIONS: We confirmed the relevance of several clinical features as risk factors for anaphylactic reactions induced by anaesthetic agents: older age, asthma, hypertension and antihypertensive drugs. We observed increased levels of serum basal tryptase in severe reactions: this finding may signify that this biomarker is useful for the identification of patients at risk. KEYWORDS: Age; Anaphylaxis; Angiotensin-converting enzyme inhibitor; General anaesthesia; Hypersensitivity; Hypertension; Neuromuscular blocking agents; Risk factors; Serum tryptase; Severity PDF Committee for European Education in Anaesthesiology (CEEA) Colegio de Anestesiólogos de León AC MÓDULO V: Sistema nervioso, fisiología, anestesia locoregional y dolor. Reconocimientos de: CEEA, CLASA, Consejo Nacional Mexicano de Anestesiología.   En la Ciudad de Léon, Guanajuato. México del 6 al 8 de Mayo, 2016. Informes en el tel (477) 716 06 16 y con el Dr. Enrique Hernández kikinhedz@gmail.com

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