• Br J Anaesth · Jul 2023

    Editorial Comment

    Suspected perioperative anaphylaxis: are we making the correct diagnosis?

    • Didier G Ebo, Marie-Line M van der Poorten, and Philip M Hopkins.
    • Faculty of Medicine and Health Science, Department of Immunology-Allergology-Rheumatology, Antwerp University Hospital and the Infla-Med Center of Excellence, University of Antwerp, Antwerp, Belgium; Department of Immunology and Allergology, AZ Jan Palfijn Ghent, Ghent, Belgium. Electronic address: Didier.ebo@uantwerpen.Be.
    • Br J Anaesth. 2023 Jul 1; 131 (1): 131613-16.

    AbstractWe provide a commentary on aspects of a prospective study of the epidemiology of perioperative anaphylaxis in Japan (Japanese Epidemiologic Study for Perioperative Anaphylaxis [JESPA]). Accurate diagnosis of perioperative anaphylaxis is important for research but essential for clinical safety. We evaluate the diagnostic approach used in the JESPA study and caution against over-reliance on diagnostic tests that lack sensitivity and specificity when clinical data suggest an immediate perioperative hypersensitivity reaction is likely.Copyright © 2023. Published by Elsevier Ltd.

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