May 2008 QUIZ OF THE MONTH . . .
To determine the cause of an anaphylactic event occuring during the peri-operative period immediate hypersenstivity skin tests may be helpful when employed using which one(s) of the following agents. (There may be one or more correct answer)?
- Chlorhexidine
- Dextran
- Morphine
- Vecuronium
- Thiopental
Discussion
An ongoing study of insect sting reactions at Johns Hopkins Medical School has revealed factors which are predictive of a repeat reaction to insect sting in a previous reactor. All of the above increase the chances of a repeat reaction with the exception of total IgE.References
1. Chacko T and Ledford D. Peri-anesthetic anaphylaxis. In: Immunology and Allergy Clinics of North America 2007; 27:213-230.
2. Kroigaard M, et al. Scandinavian Clinical Practice Guidelines on the diagnosis, management, and follow-up of anaphylaxis during anesthesia. ACTA Anaesthesiol Scandinavia 2007; 51:655-670
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