Allergy Unit and Allergy-Anesthesia Unit, Hospital Central Cruz Roja, Madrid, Spain.
Authors who participate in ISCIII RETIC ARADyAL.
J Investig Allergol Clin Immunol. 2018;28(4):216-232. doi: 10.18176/jiaci.0236. Epub 2018 Feb 7.
Perioperative hypersensitivity reactions constitute a first-line problem for anesthesiologists and allergists. Therefore, hospitals should have a consensus protocol for the diagnosis and management of these reactions. However, this kind of protocol is not present in many hospitals, leading to problems with treatment, reporting of incidents, and subsequent etiological diagnosis. In this document, we present a systematic review of the available scientific evidence and provide general guidelines for the management of acute episodes and for referral of patients with perioperative hypersensitivity reactions to allergy units. Members of the Drug Allergy Committee of the Spanish Society of Allergy and Clinical Immunology (SEAIC) have created this document in collaboration with members of the Spanish Anesthesia Society (SEDAR). A practical algorithm is proposed for the etiologic diagnosis, and recommendations are provided for the management of hypersensitive patients.
围手术期过敏反应是麻醉师和过敏症专家面临的首要问题。因此，医院应针对这些反应制定诊断和管理的共识性方案。然而，许多医院都没有这种方案，导致在治疗、事件报告以及后续病因诊断方面存在问题。在本文件中，我们对现有科学证据进行了系统回顾，并为围手术期过敏反应的急性发作管理以及将此类患者转介至过敏科提供了一般性指导。西班牙过敏与临床免疫学会（SEAIC）药物过敏委员会成员与西班牙麻醉学会（SEDAR）成员合作编写了本文件。提出了病因诊断的实用算法，并就过敏患者的管理提供了建议。
