Emergency treatment of peri‐operative anaphylaxis: Resuscitation Council UK algorithm for anaesthetists

• Published in: Anaesthesia Vol. 79; no. 5; pp. 535 - 541
• Main Authors: Dodd, A., Turner, P. J., Soar, J., Savic, L.
• Format: Journal Article
• Language: English
• Published: England Blackwell Publishing Ltd 01.05.2024
• Subjects: Algorithms; Allergies; Anaphylaxis; Anaphylaxis - therapy; Anesthesia; Anesthetists; Catastrophic events; Emergency medical care; Epinephrine - therapeutic use; Humans; Immunology; Resuscitation; Side effects; United Kingdom; United Kingdom; Resucscitation Council UK; perioperative Allergy Network; intravenous adrenaline; peri-operative anaphylaxis
• ISSN: 0003-2409; 1365-2044; 1365-2044
• DOI: 10.1111/anae.16206

Peri‐operative anaphylaxis is a rare but potentially catastrophic event which must be considered whenever unexpected and significant cardiovascular or respiratory compromise occurs during anaesthesia. The Resuscitation Council UK algorithm for peri‐operative anaphylaxis highlights the importance of early intravenous adrenaline and fluid resuscitation and provides guidance on the treatment of refractory anaphylaxis and immediate follow‐up. This algorithm is endorsed by the Royal College of Anaesthetists, Association of Anaesthetists, British Society of Allergy and Clinical Immunology and Clinical Immunology Professional Network of the British Society for Immunology. This document was produced by the Perioperative Allergy Network steering committee in collaboration with the Resuscitation Council UK.