Managing anaphylaxis in the office setting

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dc.contributor.authorCingi, Cemal
dc.contributor.authorWallace, Dana
dc.contributor.authorMuluk, Nuray Bayar
dc.contributor.authorEbisawa, Motohiro
dc.contributor.authorCastells, Mariana
dc.contributor.authorSahin, Ethem
dc.contributor.authorAltintoprak, Niyazi
dc.date.accessioned2020-06-25T18:16:27Z
dc.date.available2020-06-25T18:16:27Z
dc.date.issued2016
dc.departmentKırıkkale Üniversitesi
dc.descriptionEbisawa, Motohiro/0000-0003-4117-558X
dc.description.abstractBackground: Although the definition of anaphylaxis for clinical use may vary by professional health care organizations and individuals, the definition consistently includes the concepts of a serious, generalized or systemic, allergic or hypersensitivity reaction that can be life-threatening or even fatal. Methods: In this review, we presented the important topics in the treatment of anaphylaxis in the office setting. This review will discuss triggers and risk factors, clinical diagnosis, and management of anaphylaxis in the office setting. Results: Anaphylaxis in the office setting is a medical emergency. It, therefore, is important to prepare for it, to have a posted, written anaphylaxis emergency protocol, and to rehearse the plan regularly. In this review, we presented the important steps in managing anaphylaxis in the office. Treatment of anaphylaxis should start with epinephrine administered intramuscularly at the first sign of anaphylaxis. Oxygen and intravenous fluids may be needed for moderate-to-severe anaphylaxis or anaphylaxis that is quickly developing or if the patient is unresponsive to the first injection of epinephrine. Antihistamine therapy is considered adjunctive to epinephrine, which mainly relieves itching and urticaria. Corticosteroids, with an onset of action of 4-6 hours, have no immediate effect on anaphylaxis. Conclusion: To prevent near-fatal and fatal reactions from anaphylaxis, the patient, the family, and the physician must remember to follow the necessary steps when treating anaphylaxis. In anaphylaxis, there is no absolute contraindication for epinephrine.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.2500/ajra.2016.30.4336
dc.identifier.endpageE123en_US
dc.identifier.issn1945-8924
dc.identifier.issn1945-8932
dc.identifier.issue4en_US
dc.identifier.pmid27456586
dc.identifier.scopus2-s2.0-84979710736
dc.identifier.scopusqualityQ1
dc.identifier.startpageE118en_US
dc.identifier.urihttps://doi.org/10.2500/ajra.2016.30.4336
dc.identifier.urihttps://hdl.handle.net/20.500.12587/6532
dc.identifier.volume30en_US
dc.identifier.wosWOS:000382104100004
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSage Publications Incen_US
dc.relation.ispartofAmerican Journal Of Rhinology & Allergy
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleManaging anaphylaxis in the office settingen_US
dc.typeArticle

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