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Psychiatria Danubina, Vol. 29 No. suppl. 4, 2017.

Pregledni rad

ALLERGIC REACTIONS AND ANESTHESIA

Danijela Glibo Bevanda orcid id orcid.org/0000-0002-3216-8356 ; University of Mostar, Faculty of Medicine, Mostar, Bosnia and Herzegovina; University Clinical Hospital of Mostar, Department for Internal Medicine, Mostar, Bosnia and Herzegovina
Marko Čačić ; Krankenhaus, Kleve, Germany
Slobodan Mihaljević ; University of Zagreb, Faculty of Medicine Zagreb, Zagreb, Croatia
Mateo Bevanda ; University of Mostar, Faculty of Medicine, Mostar, Bosnia and Herzegovina
Ante Bogut ; University Clinical Hospital of Mostar, Department for Internal Medicine, Mostar, Bosnia and Herzegovina
Maja Karin ; University Clinical Hospital of Mostar, Department for Internal Medicine, Mostar, Bosnia and Herzegovina

Puni tekst: engleski pdf 328 Kb

str. 60-68

preuzimanja: 127

citiraj

Sažetak

The diagnosis of allergic reactions during anesthesia is difficult. For example, cardio-respiratory symptoms may be due to the
accompanying pharmacological effects of anesthetics and poor interpretation of the reaction during anesthesia. It is important to
distinguish whether a real allergic reaction has occurred. Accidents with anesthetics and muscle relaxants are observed more often than we expect. Proper anaphylaxis rarely occurs during anesthesia (1: 20000). Muscle relaxants are the most common causes, followed by latex, chlorhexidine, antibiotics and opioids. To confirm the diagnosis it is necessary to perform a larger number of blood and skin tests. Targeted diagnostic approach and therapy allow avoiding more difficult events. Anesthesia should be selected for those medications that have been tested. Additionally, patients should be premedicated with antihistaminics and systemic steroids, as the emergence of intolerance is not completely excluded by negative testing. There is no gold standard for testing, even if every method is precisely performed; there are always false positive and false negative results. When anaphylaxis appears, urgent approach is needed to provide the patient with appropriate treatment. It is necessary to act according to the established algorithms and treatment protocols. Many anesthesiologists will not ever see such a reaction, and very few will see more than one during their work life. Awareness of allergy in anesthesia is still insufficient.

Ključne riječi

anesthesia; anaphylaxis; muscular relaxants

Hrčak ID:

263969

URI

https://hrcak.srce.hr/263969

Datum izdavanja:

13.9.2017.

Posjeta: 281 *