Anaes Vivas · Anaphylaxis under anaesthesia
Clinical viva — the adrenaline protocol for perioperative anaphylaxis
A clinical viva on the adrenaline-first protocol — the IV bolus (50 mcg), the repeat every 2-3 min, the infusion for refractory cases, the fluid, and the NAP6 lesson (adrenaline under-dosed and delayed).
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Target exams
ANZCAFRCAABAEDAIC
Prompt
The examiner asks you to talk through the step-by-step adrenaline protocol for perioperative anaphylaxis, including the initial bolus dose, the repeat strategy, and the escalation to an infusion.
Stimulus
Talk through the step-by-step adrenaline protocol for perioperative anaphylaxis. Include the initial IV bolus dose, the repeat strategy, the escalation to an infusion, and the common errors.
References2ShowHide
- [1]Harper NJN, Cook TM, Garcez T, et al. Anaesthesia, surgery, and life-threatening allergic reactions: management and outcomes in the 6th National Audit Project (NAP6). British Journal of Anaesthesia, 2018.PMID 29935569
- [5]Wang J, Lieberman JA, Wallace DV. Anaphylaxis in Practice: A Guide to the 2023 Practice Parameter Update. Journal of Allergy and Clinical Immunology: In Practice, 2024.PMID 38944199