在临床中巩固高风险过敏手术的模型
Monica Hajirawala1, Amber Hardeman2, Nina Hein3
1Department of Allergy and Immunology, University of South Florida Health, Tampa, FL.
Ochsner journal
|December 25, 2024
概括
过敏诊所在手术过程中管理过敏反应风险,其中8.6%需要上腺素. 大多数反应是可以在诊所治疗的,突出了过敏症专家.
科学领域:
- 过敏和免疫学 过敏和免疫学
- 临床程序 临床程序
- 过敏反应管理 过敏管理
背景情况:
- 过敏学家会进行具有潜在风险的手术,包括过敏反应.
- 风险评估对于在过敏相关程序期间的患者安全至关重要.
- 上腺素使用频率可以表明程序风险水平.
研究的目的:
- 开发基于上腺素使用的过敏程序的风险评估.
- 在专业诊所评估各种手术的安全性和结果.
- 评估高风险手术诊所模型的有效性.
主要方法:
- 从5.5年 (2016-2021) 的医疗记录的回顾性审查.
- 分析了在一个每月一次的高风险手术诊所中进行的596项手术.
- 收集的数据包括程序类型,终止实例和上腺素的使用.
主要成果:
- 8.6%的手术 (51/596) 需要上腺素,药物脱敏率最高 (25%) 和食物挑战 (10.5%).
- 大多数手术 (92.4%) 已经完成;7.6%的手术由于各种原因被堕胎.
- 两名患者需要转移到急诊室;没有住院治疗或死亡.
结论:
- 不同的过敏手术带有可管理的过敏反应风险,大多数反应都在诊所处理.
- 过敏学家在治疗过程中的潜在过敏反应中发挥着关键作用.
- 程序诊所模型有效地培训研究员在过敏反应的识别和管理.
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