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...

...onsensus in the Definition, Criteria, and Nomen...

...axis is a serious, systemic hyperse...


...le 1. 2004 Brown Grading System for Hype...


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


Recommendation 2 (CBS) We suggest drawin...


...3 (CBS)We suggest clinicians consider evalu...


...ation 4 (CBS)We suggest clinicians cons...


...commendation 5 (CBS)We suggest that clinician...


...commendation 6 (CBS)We suggest that...


...ommendation 7 (CBS)We suggest that ne...


...e 1. Anaphylaxis Consensus Severity Gra...


...e 2. Diagnostic Evaluation of the Pa...


...laxis Differential DiagnosisAnaphylaxis Anaph...


...g Systems to Evaluate Risk of a Clonal Mast...


Infants and Toddlers

...fants and Toddle...

...hylaxis in Infants and T...

...8 (CBS)We suggest that clinicians...

...ecommendation 9 (CBS)We suggest clinicians b...

...ecommendation 10 (CBS)We suggest clinicians...

...11 (CBS)We suggest clinicians be awa...

...ommendation 12 (CBS)We suggest clinicians pre...


Anaphylaxis in Community Settings

...is in Community Settings...

...commendation 13 (CBS)We recommend clinicians co...


...ion 14 (CBS)We recommend clinicians educat...


...ommendation 15 (CBS)We recommend clinicians...


...e 3. Frequency of Anaphylaxis in Differe...


...in Childcare Centers and Schools...

...dation 16 (GRADE)We suggest childcare cente...

...commendation 17 (GRADE)We suggest tha...

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


...in the Restaurant Setting...

Recommendation 19 (CBS)We suggest clinicians cou...

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


...in Community Recreational Settings...

...1 (CBS)We suggest that advising individuals at ri...


...ephrine in Community Settings...

...on 22 (CBS)We suggest that keeping stock EAI in...


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


...able 5. Key Points for the Clinician on Anaphy...


Epinephrine Autoinjectors

Epinephrine Autoin...

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

...ion 23 (CBS)We suggest clinicians routinely...

...dation 24 (CBS)We suggest that in jurisdicti...

...mmendation 25 (CBS)We suggest that clinicians...

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

...Likelihood of Requiring Treatment...

...Factors and Cofactors Potentially Assoc...

...l Guidance for Activation of EMS and Administrati...

...erations for and Against Home Manag...

...le 9. Proposed Strategies to Reduce the Ris...

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

...8 (CBS)We suggest that clinicians discuss the...

...29 (CBS)When deciding which EAI to prescribe,...

...ndation 30 (CBS)During visits with patients...


Beta-blockers and ACEIs

...eta-blockers and...

...ocker (BB) and Angiotensin-Convert...

.... Framework for Evaluation of the Benef...


...Insect Allergy and Venom Immunotherapy...

...dation 31 (CBS)We suggest that patients with a...

...ation 32 (CBS)We suggest that VIT may be p...

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


...rgen Immunotherapy...

Recommendation 34 (CBS)We suggest use of i...

...ation 35 (CBS)We suggest that patients recei...


...Procedures: (e.g., Drug Desensitization, Radi...

...ation 36 (CBS)For planned procedures (e....


...s at Risk for Anaphylaxis (Unplanne...

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


Mast Cell Disorders

...Cell Disorders...

...dation 38 (CBS)We recommend clinicians order...


...on 39 (CBS)We recommend clinicians not rely on se...


...ifferential Diagnosis for Elevated...


...40 (CBS)We recommend measurement of bST in...


...ecommendation 41 (CBS)We suggest clinicians con...


...ation 42 (CBS)We suggest VIT be continued in...


Perioperative Anaphylaxis

Perioperative Anaphylaxis

...3 (CBS)We suggest that immediate hype...


...ommendation 44 (CBS)We suggest that imme...


...dation 45 (CBS)We suggest that challen...


...mendation 46 (CBS)We suggest that repeat anest...


...mendation 47 (CBS)We suggest that avoidance of...


...48 (CBS)We offer no recommendation...


...mended Concentrations for Skin Tests: Skin Prick...