Anaesthesia & ICU
Anaphylaxis Under Anaesthesia
Recognise (cardiovascular > cutaneous), 100% O₂, adrenaline IV titrated, fluid bolus, identify trigger, NAP6 reporting.
Source: AAGBI 2018; NAP6
Step 1 of ~3
info
Recognise — Often Cardiovascular First
Most common trigger: NMBs (rocuronium > sux), antibiotics (teicoplanin, co-amoxiclav), chlorhexidine, latex, induction agents, contrast. Cutaneous features hidden under drapes — cardiovascular collapse may be only sign. Sudden hypotension, bronchospasm + ↑ airway pressure, urticaria, angioedema. NAP6 — UK 1:10,000; 4% mortality.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Adrenaline (Anaphylaxis Protocol) · Auto-injector / IM adrenaline for anaphylaxis
- Adrenaline IM (Paediatric — Anaphylaxis) · Adrenaline (Epinephrine) — Sympathomimetic
- Epinephrine (Adrenaline) in Local Anaesthesia · Vasoconstrictor Additive in Local Anaesthesia
- Ketamine (Anaesthesia/Sedation) · Dissociative Anaesthetic (NMDA Receptor Antagonist)
- Morphine (IV/IM — Anaesthesia/ICU) · Strong Opioid Analgesic
- Suxamethonium (Anaesthesia/RSI) · Depolarising Neuromuscular Blocking Agent
Pathways
- Difficult Airway Algorithm (DAS) · DAS 2015; Royal College of Anaesthetists
- Malignant Hyperthermia · AAGBI 2011; MHAUS
- Local Anaesthetic Systemic Toxicity (LAST) · AAGBI 2010; ASRA 2017
- Spinal Anaesthesia Hypotension Management · AAGBI; ASA
- Postoperative Nausea & Vomiting · Society for Ambulatory Anesthesia 2020; AAGBI
- Surviving Sepsis Bundle (Adult ICU) · Surviving Sepsis Campaign 2021; NICE NG51
Decision support only. Always apply local guidelines and clinical judgement.