The relationship between anaesthesia and the patient’s allergic reaction
The relationship between anaesthesia and the patient’s allergic reaction
The relationship between anaesthesia and the patient’s allergic reaction is a complex and important medical issue that affects not only the safety of the operation but also the overall health and recovery of the patient. Allergies may occur in various ways during anaesthesia, ranging from mild discomfort to severe allergies, which can have a significant impact on patients. Understanding these relationships is essential for anaesthetists, who need to take appropriate measures in pre-operative assessment, anaesthesia selection, monitoring and response strategies to ensure the safety of patients.
1. The allergies of narcotic drugs are one of the main sources of allergies. These substances may include, but are not limited to, anaesthesia, analgesics, muscle laxatives, local anesthesia and intravenouss. The types of allergies can be type I (i.e. rapid hair allergy, e.g. measles, rashes, asthma), type II (e.g. reduced chromium, slabs), type III (e.g. vascular oedema) or type IV (e.g. exposure to pelvis).
Pre-aesthesia assessment and prevention Pre-aesthesia assessment is a key step in preventing allergy. Doctors need to know in detail the patient ‘ s past medical history, including the history of drug allergies, family allergies, previous surgical experiences, etc. For patients with an allergy history, the anaesthetist should be particularly vigilant and may require a sensitization test (e.g., a skin puncture test, a blood test) to determine an allergy. In their assessment, doctors should also take into account factors such as the age, sex, state of underlying illness of the patient, which may affect the metabolic and excretion of the drug and thus the risk of an allergic response.
3. The choice of narcotic drugs and alternatives is based on the patient ‘ s allergy history, and the anesthesiologist should choose the appropriate narcotic drugs. For patients who are known to be allergic to a particular drug, the drug should be avoided. In some cases, doctors may need to look for alternatives to drugs. For example, if the patient is allergic to a muscle laxant, the doctor may choose another muscle laxant or anaesthesia method using a non-muscle laxant, such as an epidural or local immersion.
4. Monitoring and response strategies. In the process of anaesthesia, continuous monitoring of patients ‘ response to drugs is essential. The doctor should see if there are any abnormal reactions, such as respiratory difficulties, rashes, blood pressure changes, etc. In the event of signs of an allergic reaction, measures should be taken immediately, such as the cessation of the use of allergies, the provision of anti-allergy drugs (e.g. antimonoamine, cortical steroids), oxygen treatment, etc. In serious cases, immediate bronchial intubation or emergency treatment such as adrenaline may be required.
Post-aesthesia management Doctors should closely monitor the patient ‘ s vital signs, assess the patient ‘ s breathing, circulatory function and whether there are signs of a continuing allergic reaction. For patients with an allergy history, doctors should provide appropriate follow-up care guidance, including avoiding exposure to known allergies and, if necessary, follow-up allergy assessment and treatment.
The relationship between anaesthesia and an allergy of the patient is closely linked and requires an integrated approach by an anaesthetist in pre-surgery assessment, the choice of anaesthesia, monitoring during anaesthesia and post-aesthesia management. Through careful assessment, sound drug selection, timely monitoring and appropriate response measures, the risk of allergies can be minimized and the safety of patients during anaesthesia can be ensured.
