Pediatric anesthesia & critical care

Perioperative hypersensitivity in children: A prospective multidisciplinary study

Acta Anaesthesiol ScandPublished Prospective observational study

Authors' conclusion

Perioperative hypersensitivity reactions can be life-threatening and may recur with further administration.

Study context

Population
Children aged 0–18 years with suspected perioperative hypersensitivity reactions undergoing surgery, Department of Pediatric Surgery, Cerrahpasa Faculty of Medicine, 2019–20218 female, 21 male
Participants
29 children
Outcome
Perioperative hypersensitivity reactions (Ring and Messmer grading; confirmed by specific IgE, basophil activation tests and serum tryptase)
Methodological detailssingle-centre, multidisciplinary, Suspected reactions examined 4-6 weeks after the reaction; serum tryptase at reaction, 2 h after and 4-6 weeks after
  • Single-centre
  • Multidisciplinary
  • Suspected reactions examined 4-6 weeks after the reaction; serum tryptase at reaction, 2 h after and 4-6 weeks after

Main finding

As reported in the abstract

Perioperative hypersensitivity reactions

Patients with perioperative hypersensitivity reactions

1

Incidence of perioperative hypersensitivity reactions (n = 1/2861)

0.03%

Observational data: associations, not effects.

Further findings

Anaphylaxis (grades III-IV)

Confirmed anaphylaxis
1
Possible anaphylaxis
5

Original publication

Perioperative hypersensitivity in children: A prospective multidisciplinary study. Acta Anaesthesiol Scand. Published 14 November 2023. doi:10.1111/aas.14354

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