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Preoperative evaluation of patients with history of allergy

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dc.creator Veličković Jelena
dc.creator Lađević Nebojša
dc.creator Milaković Branko
dc.creator Likić-Lađević Ivana
dc.creator Ugrinović Đorđe
dc.creator Kalezić Nevena
dc.date 2011
dc.date.accessioned 2013-05-30T11:54:01Z
dc.date.available 2013-05-30T11:54:01Z
dc.date.issued 2013-05-30
dc.identifier http://www.doiserbia.nb.rs/img/doi/0354-950X/2011/0354-950X1102177V.pdf
dc.identifier http://www.doaj.org/doaj?func=openurl&genre=article&issn=0354950X&date=2011&volume=58&issue=2&spage=177
dc.identifier.uri http://koha.mediu.edu.my:8181/jspui/handle/123456789/4882
dc.description The prevalence of allergic reactions in general population shows a constant rise. It has been estimated that up to 40% of surgical patients have a positive history of some kind of allergy. These patients represent a challenge during perioperative evaluation, since they can be exposed to a large variety of drugs and substances during surgery and anesthesia. A lot of adverse drug reactions show similar clinical presentation with allergic reactions. The latter are usually poorly explored since preoperative allergology testing is performed in a limited number of patients. Management of patients with history of allergy is impeded by the fact that most of allergens cross-react in a manner that is not always easy to predict. Allergies can manifest themselves with a broad spectrum of clinical symptoms, ranging from mild skin symptoms such as itch and urticaria, to a life-threatening anaphylactic reactions followed by hypotension, bronchospasm and cardiovascular collapse. Prevention of allergic reactions during perioperative period requires detailed history taking in order to identify patients at risk, optimization of anesthesia strategy, pharmacological premedication and further allergology diagnostic work-up in selected cases.
dc.language eng
dc.publisher Klinički centar Srbije, Institut za bolesti digestivnog sistema
dc.source Acta Chirurgica Iugoslavica
dc.subject allergy
dc.subject perioperative management
dc.subject anesthesia
dc.subject surgery
dc.title Preoperative evaluation of patients with history of allergy


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