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British Journal of Anaesthesia, 1987, Vol. 59, No. 6 690-692
© 1987 The Board of Management and Trustees of the British Journal of Anaesthesia

other

CAN CLINICAL ANAPHYLAXIS TO ANAESTHETIC DRUGS BE PREDICTED FROM ALLERGIC HISTORY?

M. MCD. FISHER, M.B., CH.B., F.F.A.R.C.S., A. OUTHRED, PH.D. and C. J. BOWEY, R.N.

Intensive Therapy Unit, Royal North Shore Hospital, Pacific Highway, St Leonards N.S.W. 2065, Australia.

Correspondence to M.F.

The incidence of a history of allergy, atopy or asthma is greater in patients who undergo lifethreatening clinical anaphylaxis to anaesthetic drugs. However, because the incidence is low, the presence of such a history is not a reliable predictor of the likelihood of a reaction in an individual patient, and does not indicate that the patient should be investigated or pretreated, or that the selection of drug(s) be altered to reduce the likelihood of a reaction.


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