Perioperative allergy and anaphylaxis in children

Subtitle:a review

Objective: Perioperative allergic reactions in pediatric patients are a known complication in anesthesia. The present review aims to look at the incidence and implication of perioperative allergic reactions in children. Methods : A review was conducted from electronic databases Pubmed and Cochrane Library. Articles were identified concerning perioperative allergic reactions in children with key words "perioperative allergy children" and "perioperative anaphylaxis children". Elaboration to related articles was based on these documents. Results : Literature focusing on perioperative allergy in children remains rather limited. Reported incidences are limited and depend on the geographic location, the population's exposure to allergens and the practice of the institution. A protocol for treatment or management in allergic reactions was proposed, based on the available literature. Conclusions : Allergy in children is less prevalent than in adults. Latex is the number 1 causative in children, especially in the at risk group. Allergy to NMBA (neuromuscular blocking agents), morphine and latex may be overdiagnosed and cross-reactivity of antibiotics is overrated. Further data, specified to children, should be collected in order to optimize a pediatric allergy protocol.

Publication year:2018