Anaphylaxis is a fatal multisystem allergic reaction. The terminology is applicable to both immunoglobulin E (IgE)-mediated and non IgE-mediated reactions. It is very important to evaluate patients who have experienced perioperative anaphylactic reactions to prevent their recurrence during future surgeries. This article will provide you insights on different strategies for evaluating and preventing anaphylactic reactions during anesthesia.

There are two strategies that are followed for this purpose; identifying the causative agent and using the alternative agent. We will now go through various aspects of evaluation one by one. History taking: Usually patients are unable to provide much information regarding allergies encountered during anesthesia, however, questioning them about the prior anesthesia might be helpful in identifying previous exposures and their management. This can also…