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[围手术期过敏反应的最新进展:巴西麻醉学会(SBA)和巴西过敏与免疫学协会(ASBAI)联合文件 - 第一部分:危机后指南与治疗]

[Update on perioperative hypersensitivity reactions: joint document of the Brazilian Society of Anesthesiology (SBA) and Brazilian Association of Allergy and Immunology (ASBAI) - Part I: post-crisis guidelines and treatment].

作者信息

Spindola Maria Anita Costa, Solé Dirceu, Aun Marcelo Vivolo, Azi Liana Maria Tôrres de Araújo, Bernd Luiz Antonio Guerra, Garcia Daniela Bianchi, Capelo Albertina Varandas, Cumino Débora de Oliveira, Lacerda Alex Eustáquio, Lima Luciana Cavalcanti, Morato Edelton Flávio, Nunes Rogean Rodrigues, Rubini Norma de Paula Motta, da Silva Jane, Tardelli Maria Ângela, Watanabe Alexandra Sayuri, Curi Erick Freitas, Sano Flávio

机构信息

Universidade Federal de Santa Catarina, Hospital Universitário Professor Polydoro Ernani de São Thiago, Florianópolis, SC, Brazil; Sociedade Brasileira de Anestesiologia, Brazil.

Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brazil; Associação Brasileira de Alergia e Imunologia, Brazil.

出版信息

Braz J Anesthesiol. 2020 Sep-Oct;70(5):534-548. doi: 10.1016/j.bjan.2020.06.004. Epub 2020 Sep 17.

DOI:10.1016/j.bjan.2020.06.004
PMID:33077175
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9373446/
Abstract

Experts from the Brazilian Association of Allergy and Immunology (ASBAI) and the Brazilian Society of Anesthesiology (SBA) interested in the issue of perioperative anaphylaxis, and aiming to strengthen the collaboration between the two societies, combined efforts to study the topic and to prepare a joint document to guide specialists in both areas. The purpose of the present series of two articles was to report the most recent evidence based on the collaborative assessment between both societies. This first article will consider the updated definitions, treatment and guidelines after a perioperative crisis. The following article will discuss the major etiologic agents, how to proceed with the investigation, and the appropriate tests.

摘要

来自巴西过敏与免疫学协会(ASBAI)和巴西麻醉学协会(SBA)的专家对围手术期过敏反应问题感兴趣,旨在加强两个协会之间的合作,共同努力研究该主题并编写一份联合文件,以指导这两个领域的专家。本系列两篇文章的目的是报告基于两个协会合作评估的最新证据。第一篇文章将探讨围手术期过敏反应危机后的最新定义、治疗方法和指南。下一篇文章将讨论主要的病因、如何进行调查以及合适的检测方法。

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本文引用的文献

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Perioperative anaphylaxis in children: Etiology, time sequence, and patterns of clinical reactivity.儿童围手术期过敏反应:病因、时间顺序和临床反应模式。
Pediatr Allergy Immunol. 2020 Jan;31(1):85-94. doi: 10.1111/pai.13124. Epub 2019 Nov 12.
2
An update on allergy and anaphylaxis in pediatric anesthesia.小儿麻醉中过敏与过敏反应的最新进展。
Paediatr Anaesth. 2019 Sep;29(9):892-900. doi: 10.1111/pan.13703. Epub 2019 Aug 4.
3
Identification and Management of Perioperative Anaphylaxis.围手术期过敏反应的识别与管理。
J Allergy Clin Immunol Pract. 2019 Sep-Oct;7(7):2134-2142. doi: 10.1016/j.jaip.2019.05.033. Epub 2019 May 31.
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Management of suspected immediate perioperative allergic reactions: an international overview and consensus recommendations.疑似即刻围手术期过敏反应的管理:国际概述和共识建议。
Br J Anaesth. 2019 Jul;123(1):e50-e64. doi: 10.1016/j.bja.2019.04.044. Epub 2019 May 24.
5
Consensus clinical scoring for suspected perioperative immediate hypersensitivity reactions.疑似围手术期即刻过敏反应的共识临床评分。
Br J Anaesth. 2019 Jul;123(1):e29-e37. doi: 10.1016/j.bja.2019.02.029. Epub 2019 Apr 24.
6
Biomarkers in Human Anaphylaxis: A Critical Appraisal of Current Evidence and Perspectives.人类过敏反应中的生物标志物:对当前证据和观点的批判性评估。
Front Immunol. 2019 Apr 5;10:494. doi: 10.3389/fimmu.2019.00494. eCollection 2019.
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An EAACI position paper on the investigation of perioperative immediate hypersensitivity reactions.变应原特异性免疫治疗在预防和治疗过敏反应中的作用(EAACI 立场文件)
Allergy. 2019 Oct;74(10):1872-1884. doi: 10.1111/all.13820. Epub 2019 Jun 18.
8
Molecular mechanisms and pathophysiology of perioperative hypersensitivity and anaphylaxis: a narrative review.围手术期过敏反应和过敏症的分子机制和病理生理学:叙述性综述。
Br J Anaesth. 2019 Jul;123(1):e38-e49. doi: 10.1016/j.bja.2019.01.031. Epub 2019 Mar 8.
9
Anaesthetic management of patients with pre-existing allergic conditions: a narrative review.预先存在过敏条件的患者的麻醉管理:叙述性综述。
Br J Anaesth. 2019 Jul;123(1):e65-e81. doi: 10.1016/j.bja.2019.01.020. Epub 2019 Mar 13.
10
Anaphylactic reaction to ethylene oxide in a hemodialysis patient.一名血液透析患者对环氧乙烷的过敏反应。
SAGE Open Med Case Rep. 2019 Mar 21;7:2050313X19838744. doi: 10.1177/2050313X19838744. eCollection 2019.