Scandinavian Clinical Practice Guidelines on the diagnosis, management and follow-up of anaphylaxis during anaesthesia (2024)

Kroigaard, M., Garvey, L. H., Gillberg, L., Johansson, S. G. O., Mosbech, H., Florvaag, E., Harboe, T. L., Eriksson, L. I., Dahlgren, G., Seeman-Lodding, H., Takala, R., Wattwil, M., Hirlekar, G., Dahlén, B., & Guttormsen, A. B. (2007). Scandinavian Clinical Practice Guidelines on the diagnosis, management and follow-up of anaphylaxis during anaesthesia. Acta Anaesthesiologica Scandinavica, 51(6), 655-70. https://doi.org/10.1111/j.1399-6576.2007.01313.x

Scandinavian Clinical Practice Guidelines on the diagnosis, management and follow-up of anaphylaxis during anaesthesia. / Kroigaard, M; Garvey, L H; Gillberg, L et al.
In: Acta Anaesthesiologica Scandinavica, Vol. 51, No. 6, 2007, p. 655-70.

Research output: Contribution to journal › Journal article › Research › peer-review

Kroigaard, M, Garvey, LH, Gillberg, L, Johansson, SGO, Mosbech, H, Florvaag, E, Harboe, TL, Eriksson, LI, Dahlgren, G, Seeman-Lodding, H, Takala, R, Wattwil, M, Hirlekar, G, Dahlén, B & Guttormsen, AB 2007, 'Scandinavian Clinical Practice Guidelines on the diagnosis, management and follow-up of anaphylaxis during anaesthesia', Acta Anaesthesiologica Scandinavica, vol. 51, no. 6, pp. 655-70. https://doi.org/10.1111/j.1399-6576.2007.01313.x

Kroigaard M, Garvey LH, Gillberg L, Johansson SGO, Mosbech H, Florvaag E et al. Scandinavian Clinical Practice Guidelines on the diagnosis, management and follow-up of anaphylaxis during anaesthesia. Acta Anaesthesiologica Scandinavica. 2007;51(6):655-70. doi: 10.1111/j.1399-6576.2007.01313.x

Kroigaard, M ; Garvey, L H ; Gillberg, L et al. / Scandinavian Clinical Practice Guidelines on the diagnosis, management and follow-up of anaphylaxis during anaesthesia. In: Acta Anaesthesiologica Scandinavica. 2007 ; Vol. 51, No. 6. pp. 655-70.

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title = "Scandinavian Clinical Practice Guidelines on the diagnosis, management and follow-up of anaphylaxis during anaesthesia",

abstract = "The present approach to the diagnosis, management and follow-up of anaphylaxis during anaesthesia varies in the Scandinavian countries. The main purpose of these Scandinavian Clinical Practice Guidelines is to increase the awareness about anaphylaxis during anaesthesia amongst anaesthesiologists. It is hoped that increased focus on the subject will lead to prompt diagnosis, rapid and correct treatment, and standardised management of patients with anaphylactic reactions during anaesthesia across Scandinavia. The recommendations are based on the best available evidence in the literature, which, owing to the rare and unforeseeable nature of anaphylaxis, mainly includes case series and expert opinion (grade of evidence IV and V). These guidelines include an overview of the epidemiology of anaphylactic reactions during anaesthesia. A treatment algorithm is suggested, with emphasis on the incremental titration of adrenaline (epinephrine) and fluid therapy as first-line treatment. Recommendations for primary and secondary follow-up are given, bearing in mind that there are variations in geography and resources in the different countries. A list of National Centres from which anaesthesiologists can seek advice concerning follow-up procedures is provided. In addition, an algorithm is included with advice on how to manage patients with previous suspected anaphylaxis during anaesthesia. Lastly, Appendix 2 provides an overview of the incidence, mechanisms and possibilities for follow-up for some common drug groups.",

keywords = "Anaphylaxis, Anesthesia, Epinephrine, Humans, Infusions, Intravenous, Oxygen Inhalation Therapy, Practice Guidelines as Topic, Resuscitation, Scandinavia",

author = "M Kroigaard and Garvey, {L H} and L Gillberg and Johansson, {S G O} and H Mosbech and E Florvaag and Harboe, {Theresa Larriba} and Eriksson, {L I} and G Dahlgren and H Seeman-Lodding and R Takala and M Wattwil and G Hirlekar and B Dahl{\'e}n and Guttormsen, {A B}",

year = "2007",

doi = "10.1111/j.1399-6576.2007.01313.x",

language = "English",

volume = "51",

pages = "655--70",

journal = "Acta Anaesthesiologica Scandinavica",

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publisher = "Wiley-Blackwell Munksgaard",

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AU - Kroigaard, M

AU - Garvey, L H

AU - Gillberg, L

AU - Johansson, S G O

AU - Mosbech, H

AU - Florvaag, E

AU - Harboe, Theresa Larriba

AU - Eriksson, L I

AU - Dahlgren, G

AU - Seeman-Lodding, H

AU - Takala, R

AU - Wattwil, M

AU - Hirlekar, G

AU - Dahlén, B

AU - Guttormsen, A B

PY - 2007

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N2 - The present approach to the diagnosis, management and follow-up of anaphylaxis during anaesthesia varies in the Scandinavian countries. The main purpose of these Scandinavian Clinical Practice Guidelines is to increase the awareness about anaphylaxis during anaesthesia amongst anaesthesiologists. It is hoped that increased focus on the subject will lead to prompt diagnosis, rapid and correct treatment, and standardised management of patients with anaphylactic reactions during anaesthesia across Scandinavia. The recommendations are based on the best available evidence in the literature, which, owing to the rare and unforeseeable nature of anaphylaxis, mainly includes case series and expert opinion (grade of evidence IV and V). These guidelines include an overview of the epidemiology of anaphylactic reactions during anaesthesia. A treatment algorithm is suggested, with emphasis on the incremental titration of adrenaline (epinephrine) and fluid therapy as first-line treatment. Recommendations for primary and secondary follow-up are given, bearing in mind that there are variations in geography and resources in the different countries. A list of National Centres from which anaesthesiologists can seek advice concerning follow-up procedures is provided. In addition, an algorithm is included with advice on how to manage patients with previous suspected anaphylaxis during anaesthesia. Lastly, Appendix 2 provides an overview of the incidence, mechanisms and possibilities for follow-up for some common drug groups.

AB - The present approach to the diagnosis, management and follow-up of anaphylaxis during anaesthesia varies in the Scandinavian countries. The main purpose of these Scandinavian Clinical Practice Guidelines is to increase the awareness about anaphylaxis during anaesthesia amongst anaesthesiologists. It is hoped that increased focus on the subject will lead to prompt diagnosis, rapid and correct treatment, and standardised management of patients with anaphylactic reactions during anaesthesia across Scandinavia. The recommendations are based on the best available evidence in the literature, which, owing to the rare and unforeseeable nature of anaphylaxis, mainly includes case series and expert opinion (grade of evidence IV and V). These guidelines include an overview of the epidemiology of anaphylactic reactions during anaesthesia. A treatment algorithm is suggested, with emphasis on the incremental titration of adrenaline (epinephrine) and fluid therapy as first-line treatment. Recommendations for primary and secondary follow-up are given, bearing in mind that there are variations in geography and resources in the different countries. A list of National Centres from which anaesthesiologists can seek advice concerning follow-up procedures is provided. In addition, an algorithm is included with advice on how to manage patients with previous suspected anaphylaxis during anaesthesia. Lastly, Appendix 2 provides an overview of the incidence, mechanisms and possibilities for follow-up for some common drug groups.

KW - Anaphylaxis

KW - Anesthesia

KW - Epinephrine

KW - Humans

KW - Infusions, Intravenous

KW - Oxygen Inhalation Therapy

KW - Practice Guidelines as Topic

KW - Resuscitation

KW - Scandinavia

U2 - 10.1111/j.1399-6576.2007.01313.x

DO - 10.1111/j.1399-6576.2007.01313.x

M3 - Journal article

C2 - 17567266

SN - 0001-5172

VL - 51

SP - 655

EP - 670

JO - Acta Anaesthesiologica Scandinavica

JF - Acta Anaesthesiologica Scandinavica

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ER -