Perioperative Allergy: Uncommon Agents

S. Caimmi, D. Caimmi, F. Cardinale, L. Indinnimeo, G. Crisafulli, D. G. Peroni, G. L. Marseglia

Research output: Contribution to journalArticlepeer-review


Anesthesia may often be considered as a high-risk procedure and anaphylaxis remains a major cause of concern for anesthetists who routinely administer many potentially allergenic agents. Neuromuscular blocking agents, latex and antibiotics are the substances involved in most of the reported reactions. Besides these three agents, a wide variety of substances may cause an anaphylactic reaction during anesthesia. Basically all the administered drugs or substances may be potential causes of anaphylaxis. Among them, those reported the most in literature include hypnotics, opioids, local anesthetics, colloids, dye, Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), Iodinated Contrast Media (ICM), antiseptics, aprotinin, ethylene oxyde and formaldehyde, and protamine and heparins. No premedication can effectively prevent an allergic reaction and a systematic preoperative screening is not justified for all patients; nevertheless, an allergy specialist should evaluate those patients with a history of anesthesia-related allergy. Patients must be fully informed of investigation results, and advised to provide a detailed report prior to future anesthesia.

Original languageEnglish
Pages (from-to)61-68
Number of pages8
JournalInternational Journal of Immunopathology and Pharmacology
Publication statusPublished - Jul 1 2011


  • Antiseptics
  • Aprotinin
  • Colloids
  • Dye
  • Ethylene oxyde
  • Formaldehyde
  • Heparins
  • Hypnotics
  • Iodinated Contrast Media (ICM)
  • Local anesthetics
  • Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)
  • Opioids
  • Protamine

ASJC Scopus subject areas

  • Pharmacology
  • Immunology
  • Immunology and Allergy


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