Anafilaksi ve Anafilaktik Şok
Synopsis
Anafilaksi; hava yolu, solunum veya dolaşım bozukluklarına neden olabilen, potansiyel olarak yaşamı tehdit eden, multisistemik bir alerjik reaksiyondur. İntramusküler adrenalin (epinefrin) uygulaması, tüm hastaların acil tedavisidir. İntravenöz adrenalin şoktaki hastalarda sıvı resüsitasyonu ile birlikte bolus veya infüzyon şeklinde kullanılmalıdır. Hava yolu obstrüksiyonu tanınmalı ve gerekiyorsa erken entübasyon yapılmalıdır. Adrenaline dirençli şok mevcutsa ek vazopresörlere ihtiyaç duyulabilir. Anafilaksinin yönetimi, hastanın semptomlarına ve tedaviye yanıtına bağlıdır. Tedavi süreci tamamlanan hastalar bifazik anafilaksi açısından bilgi ve eğitim verilerek taburcu edilebilir.
References
Antolín-Amérigo D, Vidal Albareda C, de Olano DG, de la Hoz Caballer B. Current update on Anaphylaxis: Anaphylaxis management in recent guidelines. Eur Ann Allergy Clin Immunol. 2023.
Johansson S, Bieber T, Dahl R, Friedmann PS, Lanier BQ, Lockey RF, et al. Revised nomenclature for allergy for global use: Report of the Nomenclature Review Committee of the World Allergy Organization, October 2003. Journal of allergy and clinical immunology. 2004;113(5):832-6.
Tanno LK, Bierrenbach AL, Simons F, Cardona V, Thong BY-H, Molinari N, et al. Critical view of anaphylaxis epidemiology: open questions and new perspectives. Allergy, Asthma & Clinical Immunology. 2018;14(1):1-11.
Zeke A, Sudhir A. Management of allergic reactions and anaphylaxis in the emergency department. Emergency Medicine Practice. 2022;24(7):1-24.
Francuzik W, Ruëff F, Bauer A, Bilò MB, Cardona V, Christoff G, et al. Phenotype and risk factors of venom-induced anaphylaxis: a case-control study of the European Anaphylaxis Registry. Journal of Allergy and Clinical Immunology. 2021;147(2):653-62. e9.
Cox LS, Sanchez-Borges M, Lockey RF. World Allergy Organization systemic allergic reaction grading system: is a modification needed? The Journal of Allergy and Clinical Immunology: In Practice. 2017;5(1):58-62. e5.
Abunada T, Al-Nesf MA, Thalib L, Kurdi R, Khalil S, ElKassem W, et al. Anaphylaxis triggers in a large tertiary care hospital in Qatar: a retrospective study. World Allergy Organization Journal. 2018;11:20.
Dodd A, Hughes A, Sargant N, Whyte AF, Soar J, Turner PJ. Evidence update for the treatment of anaphylaxis. Resuscitation. 2021;163:86-96.
Beyaz Ş, Gelincik A. Anaphylaxis in risky populations. Current pharmaceutical design. 2023;29(3):224-38.
Ventura MT, Boni E, Taborda-Barata L, Blain H, Bousquet J. Anaphylaxis in elderly people. Current Opinion in Allergy and Clinical Immunology. 2022;22(6):435-40.
Kuder MM, Baird R, Hopkins M, Lang DM. Anaphylaxis in Pregnancy. Immunol Allergy Clin North Am. 2023;43(1):103-16.
Tacquard C, Iba T, Levy JH. Perioperative Anaphylaxis. Anesthesiology. 2023;138(1):100-10.
Cardona V, Ansotegui IJ, Ebisawa M, El-Gamal Y, Rivas MF, Fineman S, et al. World allergy organization anaphylaxis guidance 2020. World allergy organization journal. 2020;13(10):100472.
Muraro A, Worm M, Alviani C, Cardona V, DunnGalvin A, Garvey LH, et al. EAACI guidelines: Anaphylaxis (2021 update). Allergy. 2022;77(2):357-77.
Shaker MS, Wallace DV, Golden DB, Oppenheimer J, Bernstein JA, Campbell RL, et al. Anaphylaxis—a 2020 practice parameter update, systematic review, and Grading of Recommendations, Assessment, Development and Evaluation (GRADE) analysis. Journal of Allergy and Clinical Immunology. 2020;145(4):1082-123.
Johansson S, Bieber T, Dahl R, Friedmann PS, Lanier BQ, Lockey RF, et al. Revised nomenclature for allergy for global use: Report of the Nomenclature Review Committee of the World Allergy Organization, October 2003. Journal of allergy and clinical immunology. 2004;113(5):832-6.
Tanno LK, Bierrenbach AL, Simons F, Cardona V, Thong BY-H, Molinari N, et al. Critical view of anaphylaxis epidemiology: open questions and new perspectives. Allergy, Asthma & Clinical Immunology. 2018;14(1):1-11.
Zeke A, Sudhir A. Management of allergic reactions and anaphylaxis in the emergency department. Emergency Medicine Practice. 2022;24(7):1-24.
Francuzik W, Ruëff F, Bauer A, Bilò MB, Cardona V, Christoff G, et al. Phenotype and risk factors of venom-induced anaphylaxis: a case-control study of the European Anaphylaxis Registry. Journal of Allergy and Clinical Immunology. 2021;147(2):653-62. e9.
Cox LS, Sanchez-Borges M, Lockey RF. World Allergy Organization systemic allergic reaction grading system: is a modification needed? The Journal of Allergy and Clinical Immunology: In Practice. 2017;5(1):58-62. e5.
Abunada T, Al-Nesf MA, Thalib L, Kurdi R, Khalil S, ElKassem W, et al. Anaphylaxis triggers in a large tertiary care hospital in Qatar: a retrospective study. World Allergy Organization Journal. 2018;11:20.
Dodd A, Hughes A, Sargant N, Whyte AF, Soar J, Turner PJ. Evidence update for the treatment of anaphylaxis. Resuscitation. 2021;163:86-96.
Beyaz Ş, Gelincik A. Anaphylaxis in risky populations. Current pharmaceutical design. 2023;29(3):224-38.
Ventura MT, Boni E, Taborda-Barata L, Blain H, Bousquet J. Anaphylaxis in elderly people. Current Opinion in Allergy and Clinical Immunology. 2022;22(6):435-40.
Kuder MM, Baird R, Hopkins M, Lang DM. Anaphylaxis in Pregnancy. Immunol Allergy Clin North Am. 2023;43(1):103-16.
Tacquard C, Iba T, Levy JH. Perioperative Anaphylaxis. Anesthesiology. 2023;138(1):100-10.
Cardona V, Ansotegui IJ, Ebisawa M, El-Gamal Y, Rivas MF, Fineman S, et al. World allergy organization anaphylaxis guidance 2020. World allergy organization journal. 2020;13(10):100472.
Muraro A, Worm M, Alviani C, Cardona V, DunnGalvin A, Garvey LH, et al. EAACI guidelines: Anaphylaxis (2021 update). Allergy. 2022;77(2):357-77.
Shaker MS, Wallace DV, Golden DB, Oppenheimer J, Bernstein JA, Campbell RL, et al. Anaphylaxis—a 2020 practice parameter update, systematic review, and Grading of Recommendations, Assessment, Development and Evaluation (GRADE) analysis. Journal of Allergy and Clinical Immunology. 2020;145(4):1082-123.
Volume
Pages
37-44
Published
May 3, 2024
Copyright (c) 2024 Academician Publishing Book Portal
License
LicenseHow to Cite
1.
Danış F. Anafilaksi ve Anafilaktik Şok. In: Akman C, Karcıoğlu Ö, editors. Dahili Aciller [Internet]. Türkiye: Academician Publishing Book DOI Portal; 2024 [cited 2026 Jul. 13]. pp. 37-44. Available from: https://omp35.books.akademisyen.net/index.php/akya/catalog/book/3074/chapter/13158