Allergies and anaphylaxis
Death or permanent disability from anaphylaxis in anaesthesia may be avoidable if the reaction is recognised early and managed optimally.
- Consider anaphylaxis if a patient develops hypotension or bronchospasm
- Initial management follows the ABC approach. Adrenaline is most effective and should be given as early as possible.
- It is the anaesthetist’s responsibility to ensure the patient is referred for investigation.
- Serum mast cell tryptase levels may help the retrospective diagnosis of anaphylaxis: appropriate blood samples should be sent for analysis.
- Optimal investigation of suspected reactions is more likely with the collaboration of specialist allergists and anaesthetists.
- Following specialist investigation, report cases to the MHRA
- All Departments of Anaesthesia should identify a Consultant Anaesthetist who is Clinical Lead for anaesthetic anaphylaxis.
- A list of allergy centres can be downloaded here »
Unfortunately due to technical difficulties the AAGBI has temporarily removed the National Anaesthetic Anaphylaxis Database. Further information on reporting cases will be available shortly.
MHRA Medical Device Alerts
Here is the latest MDA relevant to Allergies and Anaphylaxis:
20 July 2012
Central venous and haemodialysis catheters manufactured by Arrow International (a division of Teleflex) (MDA/2012/048) Read more »