PERIOPERATIVE ANAPHYLAXIS: A SYSTEMATIC REVIEW
DOI:
https://doi.org/10.53555/nnmhs.v9i6.1735Keywords:
Allergy, Anaphylaxis, Hypersensitivity, PerioperativeAbstract
Background: Perioperative anaphylaxis can be associated with antibiotics, neuromuscular blocking agents, dyes, latex, and disinfectants. This article evaluates the condition's epidemiology, pathophysiology, and treatment, including an allergy assessment.
Aim: This investigation aims to investigate the possibility that perioperative anaphylaxis develops.
Methods: The study met the PRISMA 2020 guidelines through self-evaluation. The investigators ensured the study's current became feasible. Publications from 2015 to 2023 were searched using various online reference databases, including Pubmed and SagePub. Excluded were review papers, pre-existing publications, and incomplete articles.
Result: The search generated 552 and 321 articles in the PubMed and SagePub databases, respectively. 54 articles were found for PubMed and 21 for SagePub in the investigation conducted for the last year of 2015. A total of 18 papers were collected, with 12 generated from PubMed and 6 from SagePub. We included five studies that met the criteria.
Conclusion: The presence of anesthetics, surgical settings, and various medications and substances may complicate the process of accurate diagnosis. A systematic approach was used to identify the reaction, perpetrator, and future management. Effective management of perioperative anaphylaxis requires close coordination among anesthesiology, surgery, and allergy specialists.
References
1. Muraro A, Lemanske RFJ, Castells M, Torres MJ, Khan D, Simon HU, et al. Precision medicine in allergic disease-food allergy, drug allergy, and anaphylaxis-PRACTALL document of the European Academy of Allergy and Clinical Immunology and the American Academy of Allergy, Asthma and Immunology. Allergy. 2017 Jul;72(7):1006–21.
2. Abbas AK; Lichtman AH; Pillai S. Cellular and molecular immunology. Philadelphia: Elsevier Health Sciences; 2014.
3. Bratawidjaya KG. Imunologi Dasar. Jakarta: Badan Penerbit FKUI; 2012.
4. Ebo DG, Beyens M, Heremans K, van der Poorten MLM, Van Gasse AL, Mertens C, et al. Recent Knowledge and Insights on the Mechanisms of Immediate Hypersensitivity and Anaphylaxis: IgE/Fc?RI- and Non-IgE/Fc?RI-Dependent Anaphylaxis. Curr Pharm Des. 2023;29(3):178–84.
5. Rajan S, Mathew J, Sudevan M, et al. Safety of Inhalational Anesthesia in Patients with Multiple Drug Allergies Presenting for Major Surgeries under General Anesthesia. Anesth Essays Res. 2019;13(2):259–63.
6. Kroigaard M, Garvey LH, Husum B, et al. Allergic reactions in anaesthesia: are suspected causes confirmed on subsequent testing? BJA Educ. 2005;95(4):468–71.
7. Hitosugi M, Matsumoto A, Takaso M, et al. Sudden Death of an Inpatient Due to Anaphylactoid Reaction: The Importance of Determining Correct Cause of Death at Autopsy. J Gen Pract. 2016;4(2):1–2.
8. Pitlick MM, Volcheck GW. Perioperative Anaphylaxis. Immunol Allergy Clin North Am. 2022 Feb;42(1):145–59.
9. Patton K, Borshoff DC. Adverse drug reactions. Anaesthesia. 2018 Jan;73 Suppl 1:76–84.
10. Harper NJN, Cook TM, Garcez T, Farmer L, Floss K, Marinho S, et al. Anaesthesia, surgery, and life-threatening allergic reactions: epidemiology and clinical features of perioperative anaphylaxis in the 6th National Audit Project (NAP6). Br J Anaesth. 2018 Jul;121(1):159–71.
11. Regateiro FS, Marques ML, Gomes ER. Drug-Induced Anaphylaxis: An Update on Epidemiology and Risk Factors. Int Arch Allergy Immunol. 2020;181(7):481–7.
12. Liu X, Gong R, Xin X, Zhao J. Clinical characteristics and allergen detection of perioperative anaphylaxis: a 12-year retrospective analysis from an anesthesia clinic in China. Perioper Med (London, England). 2022 Jan;11(1):5.
13. Zuo J, Gong R, Liu X, Zhao J. Risk of True Allergy to Local Anesthetics: 10-Year Experience from an Anesthesia Allergy Clinic in China. Ther Clin Risk Manag. 2020;16:1297–303.
14. Au EYL, Lau CS, Lam K, Chan E. Perioperative anaphylaxis and investigations: a local study in Hong Kong. Singapore Med J. 2020 Apr;61(4):200–5.
15. Zhang P, Liu X, Li W, Gong R, Zuo J, Sun R, et al. Epidemiology of suspected life-threatening perioperative anaphylaxis: a cross-sectional multicentre study in China. Br J Anaesth. 2022 Jan;128(1):45–54.
16. Suigiyama Y, Takazawa T, Watanabe N, Bito K, Fujiyoshi T, Hamaguchi S, et al. The Japanese Epidemiologic Study for Perioperative Anaphylaxis, a prospective nationwide study: clinical signs, severity, and therapeutic agents. Br J Anaesth. 2023 Mar;
17. Manian DV, Volcheck GW. Perioperative Anaphylaxis: Evaluation and Management. Clin Rev Allergy Immunol. 2022 Jun;62(3):383–99.
18. Ebo DG, Clarke RC, Mertes PM, Platt PR, Sabato V, Sadleir PHM. Molecular mechanisms and pathophysiology of perioperative hypersensitivity and anaphylaxis: a narrative review. Br J Anaesth. 2019 Jul;123(1):e38–49.
19. Takazawa T, Yamaura K, Hara T, Yorozu T, Mitsuhata H, Morimatsu H. Practical guidelines for the response to perioperative anaphylaxis. J Anesth. 2021 Dec;35(6):778–93.
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Journal of Advance Research in Medical & Health Science (ISSN: 2208-2425)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Licensing
Ninety Nine Publication publishes articles under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This licensing allows for any use of the work, provided the original author(s) and source are credited, thereby facilitating the free exchange and use of research for the advancement of knowledge.
Detailed Licensing Terms
Attribution (BY): Users must give appropriate credit, provide a link to the license, and indicate if changes were made. Users may do so in any reasonable manner, but not in any way that suggests the licensor endorses them or their use.
No Additional Restrictions: Users may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
