Anaphylaxis

Publication Date: December 17, 2023

Introduction

Introduction

This practice parameter is not a comprehensive review of anaphylaxis but focuses on 7 areas in which new evidence has emerged and in which recommendations may now be different from previous practice parameters.
  • Diagnosis
  • Infants and Toddlers
  • Anaphylaxis in Community Settings
  • Epinephrine Autoinjectors
  • Beta-blockers and ACE inhibitors
  • Mast Cell Disorders, and
  • Peri-operative Anaphylaxis

Diagnosis

...gnosis...

...oints of Consensus in the Definition, Criteria,...

...is a serious, systemic hypersensitivity r...


...own Grading System for Hypersensitivit...


...ion 1 (CBS)We recommend obtaining a bas...


...on 2 (CBS) We suggest drawing an acute-pha...


...3 (CBS)We suggest clinicians consid...


...dation 4 (CBS)We suggest clinicians consider...


...ommendation 5 (CBS)We suggest that...


...ndation 6 (CBS)We suggest that meet...


...ndation 7 (CBS)We suggest that neither the clini...


...phylaxis Consensus Severity Grading Systema...


...ure 2. Diagnostic Evaluation of the...


Table 2. Anaphylaxis Differential Diagnosis...


...e 3. Scoring Systems to Evaluate Risk of a Clon...


Infants and Toddlers

Infants and Toddler...

...aphylaxis in Infants and Tod...

...ion 8 (CBS)We suggest that clinicians use cu...

...ndation 9 (CBS)We suggest clinicians be awa...

...commendation 10 (CBS)We suggest clinicians be a...

...n 11 (CBS)We suggest clinicians be a...

...mmendation 12 (CBS)We suggest clinicians prescrib...


Anaphylaxis in Community Settings

...aphylaxis in Community Settings...

Recommendation 13 (CBS)We recommend c...


...n 14 (CBS)We recommend clinicians educate patien...


...dation 15 (CBS)We recommend clinicians educa...


...uency of Anaphylaxis in Different LocationsaHaving...


...n Childcare Centers and Schools...

...ndation 16 (GRADE)We suggest childcare center...

...ion 17 (GRADE)We suggest that childcare cente...

...ecommendation 18 (GRADE)We suggest...


...in the Restaurant Setting...

...ecommendation 19 (CBS)We suggest clinicians coun...

...ndation 20 (CBS)We suggest clinicians couns...


...Community Recreational Settings...

...21 (CBS)We suggest that advising ind...


...rine in Community Settings...

...commendation 22 (CBS)We suggest that keep...


...ial Expert Opinion-Based Strategies and Conside...


...oints for the Clinician on Anaphylaxis in Communi...


Epinephrine Autoinjectors

...phrine Autoinject...

...Autoinjectors: When and What to Prescribe...

...ndation 23 (CBS)We suggest clinicians routi...

...24 (CBS)We suggest that in jurisdictions where si...

...n 25 (CBS)We suggest that clinicians counsel patie...

...mmendation 26 (CBS)We suggest that clinicians coun...

...able 6. Likelihood of Requiring Treat...

...k Factors and Cofactors Potentially Associated W...

...ral Guidance for Activation of EMS and Ad...

...8. Considerations for and Against Home...

...ble 9. Proposed Strategies to Reduce the Risk of E...

...on 27 (CBS)Serious adverse reactions to intram...

...n 28 (CBS)We suggest that clinicians discuss th...

...on 29 (CBS)When deciding which EAI to prescri...

...ion 30 (CBS)During visits with patients who h...


Beta-blockers and ACEIs

...a-blockers and ACEIs...

...ker (BB) and Angiotensin-Converting...

...ork for Evaluation of the Benefit and Risk...


...ging Insect Allergy and Venom Immunother...

...dation 31 (CBS)We suggest that pati...

...mendation 32 (CBS)We suggest that...

...dation 33 (CBS)We suggest, in most...


...rgen Immunotherapy...

...mmendation 34 (CBS)We suggest use of...

...mmendation 35 (CBS)We suggest that patients...


...cedures: (e.g., Drug Desensitization...

...on 36 (CBS)For planned procedures (e.g....


...sk for Anaphylaxis (Unplanned Exposure or Unknown...

...tion 37 (CBS)We suggest that all patients...


Mast Cell Disorders

...Cell Disorders

Recommendation 38 (CBS)We recommend...


...ecommendation 39 (CBS)We recommend clinicians n...


.... Differential Diagnosis for Elevated Baseline ...


...on 40 (CBS)We recommend measurement...


...ecommendation 41 (CBS)We suggest c...


...on 42 (CBS)We suggest VIT be continued indefinitel...


Perioperative Anaphylaxis

...ioperative Anaphylax...

...endation 43 (CBS)We suggest that i...


...tion 44 (CBS)We suggest that immed...


...ecommendation 45 (CBS)We suggest that chal...


...46 (CBS)We suggest that repeat anesthesia may pr...


...ecommendation 47 (CBS)We suggest that avoi...


...ecommendation 48 (CBS)We offer no recomme...


...le 12. Recommended Concentrations for Skin Test...