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Psychiatria Danubina, Vol. 31 No. suppl 5, 2019.

Original scientific paper

PREOPERATIVE ANAESTHESIOLOGIC EVALUATION OF PATIENT WITH KNOWN ALLERGY

Željko Čolak ; University of Zagreb, School of Medicine, Department of Anesthesiology, Reanimatology and Intensive Care Medicine, University Hospital Zagreb, Zagreb, Croatia
Mario Pavlek ; University of Zagreb, School of Medicine, Department of Anesthesiology, Reanimatology and Intensive Care Medicine, University Hospital Zagreb, Zagreb, Croatia
Mirabel Mažar ; University of Zagreb, School of Medicine, Department of Anesthesiology, Reanimatology and Intensive Care Medicine, University Hospital Zagreb, Zagreb, Croatia
Sanja Konosić ; University of Zagreb, School of Medicine, Department of Anesthesiology, Reanimatology and Intensive Care Medicine, University Hospital Zagreb, Zagreb, Croatia
Višnja Ivančan ; University of Zagreb, School of Medicine, Department of Anesthesiology, Reanimatology and Intensive Care Medicine, University Hospital Zagreb, Zagreb, Croatia
Milenko Bevanda ; University of Mostar, School of Medicine, Mostar, Bosnia and Herzegovina

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Abstract

Anaphylaxis is an unanticipated systemic hypersensitivity rea ction which can produce deleterious effects, even death, if not
treated promptly. Preventive approach implies taking a thorough anamnesis with the emphasis on previously diagnosed allergies. If
an allergic reaction occurred during previous surgery, a detailed documentation of administered anaesthetic agents and drugs would
be crucial for the following anaesthesiologic management. Preoperative planning and avoiding cross-reactivity with drugs
commonly used during anaesthesia are the key points to prevent an anaphylaxis. In case of emergency surgery when the exact
identification of allergens is not possible, premedication prophylaxis should be considered. General measures for prevention of
anaphylaxis could be undertaken as well, such as the choice of anaesthesiologic drugs and techniques in the operating theatre
adequately equipped for the management of predictable anaphylaxis.

Keywords

anaesthesia; anaphylaxis; preoperative care

Hrčak ID:

269449

URI

https://hrcak.srce.hr/269449

Publication date:

21.12.2019.

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