Anaphylaxis
-Most commonly caused by muscle relaxants, then latex, then abx
-Careful hx allows avoidance of precipitating agents
-premedication with antihistamine and steroids NOT generally recommended
TERM
Anesthetic agent predictor of PONV
-Volatile anesthetics
-Nitrous
Large doses of neostigmine (NMB reversal)
-Opioids
TERM
,Latex allergy predisposing factors
-Healthcare workers with exposure- especially with atopy/ hand eczema
-spina bifida pts
-urological reconstructive surgery
- 9 Surgical procedures
-intraop anaphylaxis of unknown cause
-Intolerance to latex-based products (balloons, condoms, rubber gloves)
-Tropical fruit allergies, banana, avocado, kiwi, hazelnut, chestnut, stone fruits,
peaches, apricots, almonds, cherries, plums
TERM
Chronic Atopy
-Hereditary predisposition toward developing certain hypersensitivity
-With long list allergy/hypersens- always have plan in place for reaction
, TERM
Pre-op testing for pt's with complex comorbidities
-Should be seen at least 1 week prior to procedure to avoid last minute surprises
-Inappropriate fasting
-Difficult airway
-Pre-existing medical conditions
TERM
Conditions that would benefit from early preoperative eval
-General: Mx conditions inhibiting ADLs, requiring monitoring in past 6 months,
admission to hospital r/t acute/chronic exacerbations last 2 months, meds like
anticoags, steriods
-Cariac: CAD, symptomiaitc arrythmias, MI, AICD, HTN D>110 S>160, CHF
-Resp: COPD, Asthma, surgery,vent
-Most commonly caused by muscle relaxants, then latex, then abx
-Careful hx allows avoidance of precipitating agents
-premedication with antihistamine and steroids NOT generally recommended
TERM
Anesthetic agent predictor of PONV
-Volatile anesthetics
-Nitrous
Large doses of neostigmine (NMB reversal)
-Opioids
TERM
,Latex allergy predisposing factors
-Healthcare workers with exposure- especially with atopy/ hand eczema
-spina bifida pts
-urological reconstructive surgery
- 9 Surgical procedures
-intraop anaphylaxis of unknown cause
-Intolerance to latex-based products (balloons, condoms, rubber gloves)
-Tropical fruit allergies, banana, avocado, kiwi, hazelnut, chestnut, stone fruits,
peaches, apricots, almonds, cherries, plums
TERM
Chronic Atopy
-Hereditary predisposition toward developing certain hypersensitivity
-With long list allergy/hypersens- always have plan in place for reaction
, TERM
Pre-op testing for pt's with complex comorbidities
-Should be seen at least 1 week prior to procedure to avoid last minute surprises
-Inappropriate fasting
-Difficult airway
-Pre-existing medical conditions
TERM
Conditions that would benefit from early preoperative eval
-General: Mx conditions inhibiting ADLs, requiring monitoring in past 6 months,
admission to hospital r/t acute/chronic exacerbations last 2 months, meds like
anticoags, steriods
-Cariac: CAD, symptomiaitc arrythmias, MI, AICD, HTN D>110 S>160, CHF
-Resp: COPD, Asthma, surgery,vent
