Clinical criteria for proper diagnosis and treatment of perioperative anaphylaxis

Detalhes bibliográficos
Autor(a) principal: Sousa, Luiz Fellipe Teixeira de
Data de Publicação: 2021
Outros Autores: Alves, Eduardo Augusto Souza, Oliveira, Victor Matheus Gomes de, Amaral, Marcelo Henrique, Cavalcante, Clarice Parrião Azevedo, Baldaçara, Raquel Prudente de Carvalho
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/21423
Resumo: Perioperative anaphylaxis is an unpredictable, severe and systemic hypersensitivity reaction mediated by IgE or non-mediated immunoglobulins, difficult to diagnose and potentially fatal. Furthermore, it is important to mention that perioperative IgE-mediated anaphylaxis is directly related to agents administered intravenously, occurring after anesthesia, with neuromuscular blocking agents (NMBs) and antibiotics being the main causal agents. After administration of the allergen, the evolution of the patient can range from only side effects, similar to those of medications in use, to serious evolutions such as cardiorespiratory arrests, showing a need to spread the theoretical and technical domain of the management of these situations to obtain better results. predictions. The mainstay of treatment for perioperative anaphylaxis includes: maintaining the airway patent, providing 100% oxygen, administering intramuscular (IM) or intravenous (IV) epinephrine, and volume replacement. Thus, since the patient can die in minutes, due to the acute situation intensifying quickly, urgent treatment is necessary. And for that, the present work brings the elucidation of diagnostic criteria (clinical picture, evolution and associated exams). In addition, it clarifies the management for the treatment of patients in perioperative anaphylaxis. For this bibliographical research, the databases of PubMed, Latin American and Caribbean Literature in Health Sciences (LILACS) and MEDLINE were used as reference.
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spelling Clinical criteria for proper diagnosis and treatment of perioperative anaphylaxisCriterios clínicos para el diagnóstico y tratamiento adecuados de la anafilaxia perioperatóriaCritérios clínicos para diagnóstico e tratamento adequado da anafilaxia perioperatóriaAnafilaxia perioperatóriaAnafilaxia perioperatória; Choque anafilático; Reação anafilática.Choque anafiláticoReação anafilática.Palabras clave: Anafilaxia perioperatoria, choque anafiláctico e reaccion anafiláctica.Anafilaxia perioperatoriaChoque anafilácticoReaccion anafiláctica.Perioperative anaphylaxisAnaphylactic shockAnaphylactic reaction.Perioperative anaphylaxis is an unpredictable, severe and systemic hypersensitivity reaction mediated by IgE or non-mediated immunoglobulins, difficult to diagnose and potentially fatal. Furthermore, it is important to mention that perioperative IgE-mediated anaphylaxis is directly related to agents administered intravenously, occurring after anesthesia, with neuromuscular blocking agents (NMBs) and antibiotics being the main causal agents. After administration of the allergen, the evolution of the patient can range from only side effects, similar to those of medications in use, to serious evolutions such as cardiorespiratory arrests, showing a need to spread the theoretical and technical domain of the management of these situations to obtain better results. predictions. The mainstay of treatment for perioperative anaphylaxis includes: maintaining the airway patent, providing 100% oxygen, administering intramuscular (IM) or intravenous (IV) epinephrine, and volume replacement. Thus, since the patient can die in minutes, due to the acute situation intensifying quickly, urgent treatment is necessary. And for that, the present work brings the elucidation of diagnostic criteria (clinical picture, evolution and associated exams). In addition, it clarifies the management for the treatment of patients in perioperative anaphylaxis. For this bibliographical research, the databases of PubMed, Latin American and Caribbean Literature in Health Sciences (LILACS) and MEDLINE were used as reference.La anafilaxia perioperatoria es una reacción de hipersensibilidad sistémica, grave e impredecible mediada por inmunoglobulinas de tipo E (IgE) o no mediadas, difícil de diagnosticar y potencialmente mortal. Además, es importante mencionar que la anafilaxia perioperatoria mediada por IgE está directamente relacionada con los agentes administrados por vía intravenosa, ocurriendo después de la anestesia, siendo los agentes bloqueadores neuromusculares (BNM) y los antibióticos los principales agentes causales. Tras la administración del alérgeno, la evolución del paciente puede ir desde efectos secundarios únicamente, similares a los de los medicamentos en uso, hasta evoluciones graves como las paradas cardiorrespiratorias, mostrando la necesidad de difundir el dominio teórico y técnico del manejo de estas situaciones para obtener mejores resultados, predicciones. La base del tratamiento para la anafilaxia perioperatoria incluye: mantener la vía aérea permeable, proporcionar oxígeno al 100%, administrar epinefrina intramuscular (IM) o intravenosa (IV) y reposición de volumen. Por lo tanto, dado que el paciente puede morir en minutos, debido a que la situación aguda se intensifica rápidamente, es necesario un tratamiento urgente. Y para eso, el presente trabajo trae la elucidación de criterios diagnósticos (cuadro clínico, evolución y exámenes asociados). Además, aclara el manejo para el tratamiento de pacientes en anafilaxia perioperatoria. Para esta investigación bibliográfica se utilizaron como referencia las bases de datos de PubMed, Literatura Latinoamericana y Caribeña en Ciencias de la Salud (LILACS) y MEDLINE.A anafilaxia perioperatória é uma reação de hipersensibilidade imprevisível, severa e sistêmica mediada por imunoglobulinas do tipo E (IgE) ou não mediadas, de difícil diagnóstico que iminentemente pode ser fatal.  Ainda, é importante citar que a anafilaxia mediada por IgE perioperatória tem relação direta com agentes administrados intravenosos, ocorrendo após anestesia, com agentes bloqueadores neuromusculares (BNMs) e antibióticos sendo os principais agentes causais. Após a administração do alérgeno, a evolução do paciente pode oscilar entre apenas efeitos colaterais, similares aos das medicações em uso, até evoluções graves como paradas cardiorrespiratórias, evidenciando uma necessidade de ser difundido o domínio teórico e técnico do manejo dessas situações para se obter melhores prognósticos. A base do tratamento da anafilaxia perioperatória inclui: manter a via aérea pérvia, fornecimento de oxigênio a 100%, administração de adrenalina intramuscular (IM) ou intravenosa (IV) e reposição de volume. Sendo assim, visto que o paciente pode vir a óbito em minutos, devido ao quadro agudo se intensificar de forma rápida, faz-se necessário a urgência no tratamento. E para isso, o presente trabalho traz a elucidação de critérios diagnósticos (quadro clínico, evolução e exames associados). Além disso, esclarece o manejo para tratamento de pacientes em quadros de anafilaxia perioperatória. Para essa pesquisa bibliográfica, utilizou-se como referência as bases de dados do PubMed, Literatura Latino-americana e do Caribe em Ciências da Saúde (LILACS) e MEDLINE.Research, Society and Development2021-10-16info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2142310.33448/rsd-v10i13.21423Research, Society and Development; Vol. 10 No. 13; e375101321423Research, Society and Development; Vol. 10 Núm. 13; e375101321423Research, Society and Development; v. 10 n. 13; e3751013214232525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/21423/19016Copyright (c) 2021 Luiz Fellipe Teixeira de Sousa; Eduardo Augusto Souza Alves; Victor Matheus Gomes de Oliveira; Marcelo Henrique Amaral; Clarice Parrião Azevedo Cavalcante; Raquel Prudente de Carvalho Baldaçarahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSousa, Luiz Fellipe Teixeira de Alves, Eduardo Augusto Souza Oliveira, Victor Matheus Gomes de Amaral, Marcelo Henrique Cavalcante, Clarice Parrião Azevedo Baldaçara, Raquel Prudente de Carvalho 2021-11-21T18:26:28Zoai:ojs.pkp.sfu.ca:article/21423Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:40:50.481021Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Clinical criteria for proper diagnosis and treatment of perioperative anaphylaxis
Criterios clínicos para el diagnóstico y tratamiento adecuados de la anafilaxia perioperatória
Critérios clínicos para diagnóstico e tratamento adequado da anafilaxia perioperatória
title Clinical criteria for proper diagnosis and treatment of perioperative anaphylaxis
spellingShingle Clinical criteria for proper diagnosis and treatment of perioperative anaphylaxis
Sousa, Luiz Fellipe Teixeira de
Anafilaxia perioperatória
Anafilaxia perioperatória; Choque anafilático; Reação anafilática.
Choque anafilático
Reação anafilática.
Palabras clave: Anafilaxia perioperatoria, choque anafiláctico e reaccion anafiláctica.
Anafilaxia perioperatoria
Choque anafiláctico
Reaccion anafiláctica.
Perioperative anaphylaxis
Anaphylactic shock
Anaphylactic reaction.
title_short Clinical criteria for proper diagnosis and treatment of perioperative anaphylaxis
title_full Clinical criteria for proper diagnosis and treatment of perioperative anaphylaxis
title_fullStr Clinical criteria for proper diagnosis and treatment of perioperative anaphylaxis
title_full_unstemmed Clinical criteria for proper diagnosis and treatment of perioperative anaphylaxis
title_sort Clinical criteria for proper diagnosis and treatment of perioperative anaphylaxis
author Sousa, Luiz Fellipe Teixeira de
author_facet Sousa, Luiz Fellipe Teixeira de
Alves, Eduardo Augusto Souza
Oliveira, Victor Matheus Gomes de
Amaral, Marcelo Henrique
Cavalcante, Clarice Parrião Azevedo
Baldaçara, Raquel Prudente de Carvalho
author_role author
author2 Alves, Eduardo Augusto Souza
Oliveira, Victor Matheus Gomes de
Amaral, Marcelo Henrique
Cavalcante, Clarice Parrião Azevedo
Baldaçara, Raquel Prudente de Carvalho
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Sousa, Luiz Fellipe Teixeira de
Alves, Eduardo Augusto Souza
Oliveira, Victor Matheus Gomes de
Amaral, Marcelo Henrique
Cavalcante, Clarice Parrião Azevedo
Baldaçara, Raquel Prudente de Carvalho
dc.subject.por.fl_str_mv Anafilaxia perioperatória
Anafilaxia perioperatória; Choque anafilático; Reação anafilática.
Choque anafilático
Reação anafilática.
Palabras clave: Anafilaxia perioperatoria, choque anafiláctico e reaccion anafiláctica.
Anafilaxia perioperatoria
Choque anafiláctico
Reaccion anafiláctica.
Perioperative anaphylaxis
Anaphylactic shock
Anaphylactic reaction.
topic Anafilaxia perioperatória
Anafilaxia perioperatória; Choque anafilático; Reação anafilática.
Choque anafilático
Reação anafilática.
Palabras clave: Anafilaxia perioperatoria, choque anafiláctico e reaccion anafiláctica.
Anafilaxia perioperatoria
Choque anafiláctico
Reaccion anafiláctica.
Perioperative anaphylaxis
Anaphylactic shock
Anaphylactic reaction.
description Perioperative anaphylaxis is an unpredictable, severe and systemic hypersensitivity reaction mediated by IgE or non-mediated immunoglobulins, difficult to diagnose and potentially fatal. Furthermore, it is important to mention that perioperative IgE-mediated anaphylaxis is directly related to agents administered intravenously, occurring after anesthesia, with neuromuscular blocking agents (NMBs) and antibiotics being the main causal agents. After administration of the allergen, the evolution of the patient can range from only side effects, similar to those of medications in use, to serious evolutions such as cardiorespiratory arrests, showing a need to spread the theoretical and technical domain of the management of these situations to obtain better results. predictions. The mainstay of treatment for perioperative anaphylaxis includes: maintaining the airway patent, providing 100% oxygen, administering intramuscular (IM) or intravenous (IV) epinephrine, and volume replacement. Thus, since the patient can die in minutes, due to the acute situation intensifying quickly, urgent treatment is necessary. And for that, the present work brings the elucidation of diagnostic criteria (clinical picture, evolution and associated exams). In addition, it clarifies the management for the treatment of patients in perioperative anaphylaxis. For this bibliographical research, the databases of PubMed, Latin American and Caribbean Literature in Health Sciences (LILACS) and MEDLINE were used as reference.
publishDate 2021
dc.date.none.fl_str_mv 2021-10-16
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/21423
10.33448/rsd-v10i13.21423
url https://rsdjournal.org/index.php/rsd/article/view/21423
identifier_str_mv 10.33448/rsd-v10i13.21423
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/21423/19016
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 10 No. 13; e375101321423
Research, Society and Development; Vol. 10 Núm. 13; e375101321423
Research, Society and Development; v. 10 n. 13; e375101321423
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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