Anaphylaxis will respond to standard management in 95% of cases. For the other 5%, your team needs a plan. The ANZAAG Anaphylaxis Management Guidelines have a card for this scenario. Here is an outline of what’s involved: ππΌππ
1οΈβ£ Request more help
π Consider pressing the emergency bell or requesting experienced assistance
π Check again if there are any possible triggers still being administered. These may include latex, chlorhexidine or synthetic colloids.
π Consider placing an arterial line
π Consider the use of echocardiography (TTE/TOE)
4οΈβ£ For resistant hypotension
π Additional 50ml/kg bolus of crystalloid
π Noradrenaline infusion
π Vasopressin bolus and infusion
π Glucagon bolus (for beta blocker reversal)
π Remember to ensure manual left uterine displacement in pregnant patients
5οΈβ£ For resistant bronchospasm
π Rule out oesophageal intubation, circuit malfunction, tension pneumothorax
π Continue adrenaline infusion
6οΈβ£ Consider other diagnoses!
Ref: https://anzaag.com/anaphylaxis-management/management-resources/
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