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CASE REPORTS
Year : 2021  |  Volume : 9  |  Issue : 4  |  Page : 146-148

Perioperative allergy and anaphylaxis: An anesthesiologist’s nightmare


Department of Anaesthesiology, NH-SRCC Children’s Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Priyanka Pradeep Karnik
Department of Anaesthesiology, NH-SRCC Children’s Hospital, B-2, 401, Rutu Park, Near Vrindavan Society, Thane west, KeshavraoKhadyeMarg, Mahalakshmi, Mumbai 400034, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/dypj.DYPJ_39_21

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Perioperative anaphylactic reactions though rarer than in adults, result in severe morbidity in children. There is a shift in the most commonly implicated agents causing anaphylaxis from neuromuscular blocking agents and latex to antibiotics. The allergy work up for children can be tedious due to the necessity to perform skin prick tests which are the gold standard. Anaesthesia for children with documented hypersensitivity to various foodstuffs and drugs can be fraught with difficulties due to airway hyperreactivity, need to avoid culprit drugs and possibility of biphasic reaction if epinephrine is not administered on time. We describe perioperative management of three cases with history of allergies and their implications.


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