Suspected Anaphylactic Reactions
associated with anaesthesia
In 1990, the Association of Anaesthetists of Great Britain and Ireland(AAGBI) published its first report on suspected anaphylactic reactionsassociated with anaesthesia.
In 1995, a second edition was published jointlywith the British Society for Allergy and Clinical Immunology (BSACI) in anattempt to help members of both societies with advice about theinvestigation and subsequent management of patients suspected of havingsuffered an anaphylactic reaction associated with anaesthesia.
The third working party was established to give particular attention to theresults of recent reports such as that of the Resuscitation Council dated1999, and on the value of investigations and their availability to anaesthetistsin Great Britain and Ireland.
The incidence of anaphylactic reactions and the associatedmorbidity/mortality in the UK is still unclear. It is the view of the workingparty that the incidence of suspected anaphylactic reactions duringanaesthesia is low but the number of cases may be increasing.2.4
There remains uncertainty about which laboratory investigations should beundertaken following a reaction as well as their interpretation andsignificance.
The role of the anaesthetist in the investigations has been acause for concern.
Publisher:The Association of Anaesthetists of Great Britain and Irelandand British Society for Allergy and Clinical Immunology