Perioperative Anaphylaxis

Mitchell M Pitlick; Gerald W Volcheck

doi:10.1016/j.iac.2021.09.002

Perioperative Anaphylaxis

Immunol Allergy Clin North Am. 2022 Feb;42(1):145-159. doi: 10.1016/j.iac.2021.09.002.

Authors

Mitchell M Pitlick¹, Gerald W Volcheck²

Affiliations

¹ Division of Allergic Diseases, Mayo Clinic, 200 1st St SW, Rochester, MN 55905, USA. Electronic address: pitlick.mitchell@mayo.edu.
² Division of Allergic Diseases, Mayo Clinic, 200 1st St SW, Rochester, MN 55905, USA.

PMID: 34823744
DOI: 10.1016/j.iac.2021.09.002

Abstract

Perioperative anaphylaxis is a potentially life-threatening and under-recognized event most commonly caused by antibiotics, neuromuscular blocking agents, dyes, latex, and disinfectants. This review provides updates in the epidemiology and pathogenesis of perioperative anaphylaxis, discusses culprit agents, and highlights the tenets of management including a comprehensive allergy evaluation.

Keywords: Anaphylaxis; Anesthesia; Hypersensitivity reaction; Intraoperative; Perioperative.

Publication types

Review

MeSH terms

Anaphylaxis* / diagnosis
Anaphylaxis* / epidemiology
Anaphylaxis* / etiology
Anti-Bacterial Agents
Drug Hypersensitivity* / diagnosis
Drug Hypersensitivity* / epidemiology
Drug Hypersensitivity* / therapy
Humans
Neuromuscular Blocking Agents* / adverse effects

Substances

Anti-Bacterial Agents
Neuromuscular Blocking Agents