Anaphylaxis - acute and long-term management

Vnitr Lek. 2020 Summer;66(6):335-339.

Abstract

Anaphylaxis is a serious, potentially lifethreatening condition, and all healthcare professionals should be aware of it. Prompt recognition of anaphylaxis signs and early initiation of adequate treatment are essential for successful acute management. The firstline treatment is the administration of intramuscular adrenalin, followed by other interventions. Patients should be moni tored after recovery for possible biphasic reaction. Before discharge, the individual risk of further reaction should be assessed and where appropriate an adrenalin autoinjector should be prescribed. Allergy specialist followup is essential for the identification of possible triggers and cofactors. Elimination of these factors reduces the risk of future reactions. Useful preventive measure is allergen immunotherapy, which is definitely indicated in patients with anaphylaxis induced by an insect sting.

Keywords: adrenaline auto‑injector; allergen immunotherapy; anaphylaxis; cofactor; trigger.

MeSH terms

  • Anaphylaxis* / diagnosis
  • Anaphylaxis* / therapy
  • Awareness
  • Epinephrine
  • Humans
  • Specialization

Substances

  • Epinephrine