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VI. Perioperative Anaphylaxis: Anaphylaxis Before, During,
or Immediately After Anesthesia
Î SS 50: Recognize that perioperative anaphylaxis has greater morbidity
and mortality than other forms of anaphylaxis. (S-B)
Î SS 51: Recognize that anaphylaxis during the perioperative period is
difficult to diagnose because of the inability of the affected patient
to communicate, the decreased occurrence of skin manifestations
in perioperative anaphylaxis, and the number of medications
administered simultaneously. (S-B)
Î SS 52: Perform skin testing for suspected reactions to neuromuscular
blocking agents, β-lactam antibiotics, and barbiturates. (R-C)
Î SS 53: Consider in the evaluation of perioperative anaphylaxis
medications (opioids, neuromuscular agents, antibiotics, etc.) blood
transfusions, supravital dyes, and latex. (S-B)
Î SS 54: Recognize that pretreatment with antihistamines and
corticosteroids may not prevent perioperative anaphylactic events.
(R-C)
