Investigations help to confirm diagnosisBMJ 1995; 311 doi: https://doi.org/10.1136/bmj.311.7017.1435b (Published 25 November 1995) Cite this as: BMJ 1995;311:1435
- S M Robinson
- Senior registrar Department of Anaesthesia, Frenchay Hospital, Bristol BS16 1LE
EDITOR,--Malcolm Fisher's review highlights the need for adrenaline along with volume replacement in the management of severe systemic anaphylaxis.1 This observation was recognised by the Association of Anaesthetists of Great Britain and Ireland, which in 1990 produced a booklet for all members2 and a wall chart for the theatre area.
As Fisher states, cardiovascular collapse is a common feature of anaphylaxis, but, particularly in the context of surgery, it is not the only diagnosis that has to be considered: myocardial infarction, pulmonary embolus, and concealed hypovolaemia are some of the diagnoses that have to be excluded. The …