PMID- 30916009
OWN - NLM
STAT- MEDLINE
DCOM- 20190624
LR  - 20190624
IS  - 1471-6771 (Electronic)
IS  - 0007-0912 (Linking)
VI  - 123
IP  - 1
DP  - 2019 Jul
TI  - Anaesthetic management of patients with pre-existing allergic conditions: a 
      narrative review.
PG  - e65-e81
LID - S0007-0912(19)30060-1 [pii]
LID - 10.1016/j.bja.2019.01.020 [doi]
AB  - This narrative review seeks to distinguish the clinical patterns of pre-existing 
      allergic conditions from other confounding non-allergic clinical entities, and to 
      identify the potential related risks and facilitate their perioperative 
      management. Follow-up investigation should be performed after a perioperative 
      immediate hypersensitivity to establish a diagnosis and provide advice for 
      subsequent anaesthetics, the main risk factor for perioperative immunoglobulin E 
      (IgE)-mediated anaphylaxis being a previous uninvestigated perioperative 
      immediate hypersensitivity reaction. The concept of cross-reactivity between 
      drugs used in the perioperative setting and food is often quoted, but usually not 
      supported by evidence. There is no reason to avoid propofol in egg, soy, or 
      peanut allergy. The allergenic determinants have been characterised for fish, 
      shellfish, and povidone iodine, but remain unknown for iodinated contrast agents. 
      Iodinated drugs may be used in seafood allergy. Evidence supporting the risk for 
      protamine allergy in fish allergy and in neutral protamine Hagedorn insulin use 
      is lacking. Conversely, cross-reactivity to gelatin-based colloid may occur in 
      alpha-gal syndrome. Atopy and allergic asthma along with other non-allergic 
      conditions, such as NSAID-exacerbated respiratory disease, chronic urticaria, 
      mastocytosis, and hereditary or acquired angioedema, are not risk factors for 
      IgE-mediated drug allergy, but there is a perioperative risk associated with the 
      potential for exacerbation of the various conditions.
CI  - Copyright (c) 2019 British Journal of Anaesthesia. Published by Elsevier Ltd. All 
      rights reserved.
FAU - Dewachter, Pascale
AU  - Dewachter P
AD  - Department of Anesthesiology and Intensive Care Medicine, Groupe Hospitalier 
      Paris-Seine-Saint-Denis, Assistance Publique-Hopitaux de Paris, Paris, France; 
      University Paris 13, Sorbonne-Paris-Cite, Paris, France. Electronic address: 
      pascale.dewachter@yahoo.fr.
FAU - Kopac, Peter
AU  - Kopac P
AD  - Division of Allergology, University Clinic of Respiratory and Allergic Diseases, 
      Golnik, Slovenia.
FAU - Laguna, Jose Julio
AU  - Laguna JJ
AD  - Department of Allergy and Allergo-Anaesthesia, Hospital Central de la Cruz Roja, 
      Madrid, Spain; Faculty of Medicine, Alfonso X El Sabio University, ARADyAL, 
      Madrid, Spain.
FAU - Mertes, Paul Michel
AU  - Mertes PM
AD  - Department of Anaesthesia and Intensive Care, Hopitaux Universitaires de 
      Strasbourg, Nouvel Hopital Civil, EA 3072, FMTS de Strasbourg, Strasbourg, 
      France.
FAU - Sabato, Vito
AU  - Sabato V
AD  - Department of Immunology, Allergology and Rheumatology, University Antwerp, 
      Antwerp University Hospital, Antwerp, Belgium.
FAU - Volcheck, Gerald W
AU  - Volcheck GW
AD  - Division of Allergic Diseases, Mayo Clinic College of Medicine, Mayo Clinic, 
      Rochester, MN, USA.
FAU - Cooke, Peter J
AU  - Cooke PJ
AD  - Department of Anaesthesia and Peri-operative Medicine, Auckland City Hospital, 
      Auckland, New Zealand.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20190313
PL  - England
TA  - Br J Anaesth
JT  - British journal of anaesthesia
JID - 0372541
SB  - IM
MH  - Anesthesia/*methods
MH  - Drug Hypersensitivity/*complications
MH  - Food Hypersensitivity/*complications
MH  - Humans
MH  - Hypersensitivity, Immediate/*complications
OTO - NOTNLM
OT  - adverse effects
OT  - anaesthesia
OT  - anaphylaxis
OT  - drug hypersensitivity
OT  - food hypersensitivity
OT  - immediate hypersensitivity
OT  - perioperative period
EDAT- 2019/03/28 06:00
MHDA- 2019/06/25 06:00
CRDT- 2019/03/28 06:00
PHST- 2018/10/31 00:00 [received]
PHST- 2019/01/12 00:00 [revised]
PHST- 2019/01/22 00:00 [accepted]
PHST- 2019/03/28 06:00 [pubmed]
PHST- 2019/06/25 06:00 [medline]
PHST- 2019/03/28 06:00 [entrez]
AID - S0007-0912(19)30060-1 [pii]
AID - 10.1016/j.bja.2019.01.020 [doi]
PST - ppublish
SO  - Br J Anaesth. 2019 Jul;123(1):e65-e81. doi: 10.1016/j.bja.2019.01.020. Epub 2019 
      Mar 13.