Next Live Series: Sharing the Airway with a Surgeon (with special guest Mr Dan McCormick). June 25 - Sign up here!
Join PC Concept Series Live Series Help
Policies About For Educators

Anaphylaxis Management

als anaphylaxis anaphylaxis management emergency management patient safety May 13, 2024
So, your team suspects anaphylaxis. Without immediate treatment, your patient is in serious trouble. Thankfully, we have clear guidelines from ANZAAG about what to do. ✅😎
 
1️⃣ The first question to answer is: Is the systolic BP < 50mmHg?
 
If it is, then your team should head down the ALS pathway for non-shockable rhythm. Thankfully, the systolic is most likely going to be > 50mmHg, which means your team should grab the anaphylaxis box and start working through the acute management card.
 
Here is a brief outline of the guidelines:
 
👉🏼 DR: Remove triggers & stop procedure
 
Remove any likely triggers, inform the surgical team to stop the procedure if possible and prepare for a possible cardiac arrest. 🫀
 
👉🏼 S: Send for help & anaphylaxis box
 
At the very least, you should send for the anaphylaxis box, a senior anaesthetic nurse and another anaesthetist. In severe anaphylaxis or cardiac arrest, you will need plenty of hands… press the emergency bell! 🚨
 
👉🏼 AB: Secure airway, 100% O2
 
Although airway swelling is rare, you might need an endotracheal tube to overcome high airway resistance due to bronchospasm. Ensure the current airway is adequate and positioned correctly. Provide 100% oxygen and confirm tube position with end-tidal CO2.
 
👉🏼 C: IV Fluids (500-2000ml)
 
The initial bolus will depend on the severity, but will usually range from 500ml to 2000ml for the initial bolus. Make sure there are plenty of warmed fluid bags ready for the ongoing resuscitation. 💦
 
👉🏼 D: Adrenaline (boluses & infusion)
 
Some cases will respond to 20-50mcg (0.2-0.5ml of 1/10,000), others will require multiple, increasing doses (500mcg - 5mg) and some will progress rapidly to a cardiac arrest. Ultimately, you need to be ready with plenty of adrenaline!
 
Check out our Live Series session to see this in action!
 
Build Knowledge ✅
Improve Safety ✅
 
Ref: https://anzaag.com/anaphylaxis-management/management-resources/

Categories

All Categories adrenaline adrenaline dosing adrenaline in anaphylaxis aed ahpra ahpra audit airway filter airway management airway mass airway trauma airwaylifeline airwayoptimisation als als aftercare alsmedications amiodarone anaphylaxis anaphylaxis aftercare anaphylaxis diagnosis anaphylaxis differential diagnosis anaphylaxis management anaphylaxis triggers antibiotics anzaag anzcor arterial line arterial line complications arterial line errors arterial lines arterialcannulation arteriallines asa article asl aspiration risk bleeding airway block blood pressure blood pressure monitoring blood products blood safety breathing circuit bronchospasm cannulation cardiac arrest causesofcardiacarrest central venous catheter centralvenouscatheter checklists chlorhexidine cico circuit closed loop communication communication complications compression rates compressions coolinginmh cpd cpr cricoid pressure critical incident cross matching cvc cvc complications dantrolene debriefing defibrillation dental surgery difficult airway drug errors drug safety ecg education emergence delirium emergency management endotracheal tubes ent ett ffp fluid resuscitation formal diagnosis glp-1 receptor agonists haemorrhage heart rate hereditarydisorder hot debrief human factors hypotension hypoxia icu induction infection control inotropes intravenous cannulation intubation invasive blood pressure monitoring invasive device invasivebloodpressuremonitoring iv induction laryngeal mask laryngectomy laryngospasm lifelines lma long term venous access major surgery malignanthyperthermia mask ventilation massive transfusion massive transfusion protocol mast cells medications mh mhtesting mls monitoring muscle relaxants neck surgery nerve monitoring non-shockable rhythms nurse burnout nurse wellbeing nursing obstetrics anaesthesia ot oxygenation ozempic paediatric anaesthesia paediatric t piece paediatrics patient safety perioperativenursing preoxygenation professional development publications rapid sequence induction recovery issues refractory anaphyalxis refractory hypotension regionalanaesthesia safe apnoea time safety shared airway shockable rhythms signs of anaphylaxis skin prick testing spinal streile procedure surgery surgical safety checklist tachycardia team time-out teamwork tonsillectomy tracheostomy transfusion reaction tryptase ultrasound ultrasoundprobes ventilation vf videolaryngoscope volatileagents vortex approach vt

Want to keep learning?

Want more content like this? Check out our premium membership for exclusive content. 

Click Here for Access

 

 

Join our mailing list for free weekly educational content.

 

By entering your details you consent to receiving amazing educational materials and updates about our products and events.