Table 4
SSAI Guideline on immediate
investigation of anaphylactic reactions during anaesthesia.
| Initial blood sampling | Sample for serum tryptase analysis (in some countries also
IgE analysis) • Ideally taken 1–4 h after the reaction • 5–10 ml of clotted whole blood • Record timing of sample in relation to start of the anaphylactic reaction • Send in protective plastic tube together with requisition at room temperature to local Anaesthesia Allergy Centre (see below) |
| Referral for allergological investigations | See below for referral procedure for each country |
| Denmark | Use anaphylaxis kit | List of contents can be downloaded from: http://www.daac.rh.dk/ |
| Blood sample requisition | Download from: http://www.daac.rh.dk/ | |
| Blood sample should be sent to | Laboratoriet for Medicinsk Allergologi | |
| Rigshospitalet, Afsnit 7542 | ||
| Blegdamsvej 9 | ||
| 2100 København Ø | ||
| Denmark | ||
| Referral papers | Download from: http://www.daac.rh.dk/ | |
| Referral papers should be sent to | Dansk Anæstesi Allergi Center | |
| Rigshospitalet, Afsnit 4231 | ||
| Blegdamsvej 9 | ||
| 2100 København Ø | ||
| Denmark | ||
| Contact | Tel.: +45 3545 8209 | |
| E-mail: | ||
| Finland | Blood sample information and requisition | HUSLAB |
| Download from: http://www.huslab.fi/ | ||
| Blood sample should be sent to | Iho- ja allergiasairaalan laboratorio (Skin and Allergy Hospital) | |
| Meilahdentie 2 | ||
| PL 160, Helsinki | ||
| 00029 HUS | ||
| Finland | ||
| Tel.: +358-(0)9-471 86420 | ||
| Contact local hospital laboratory to obtain more information about local routine | ||
| Referral papers should be sent to | Local university or central hospital with | |
| Department of Allergy and/or Skin Disease | ||
| Report anaphylaxis to | Lääkelaitos (National Agency for Medicines) | |
| Mannerheimintie 103 b | ||
| PL 55, 00301 Helsinki | ||
| Finland | ||
| Iho- ja allergiasairaala, allergialaboratorio | ||
| Meilahdentie 2, 4. krs | ||
| PL160, Helsinki | ||
| 00029 HUS | ||
| Tel.: +358-(0)9-471 86430 | ||
| Fax: +358-(0)9-471 86564 | ||
| Iceland | Blood sample should be sent to | Rannsóknadeild LHS eða |
| Rannsóknadeild FSA | ||
| Referral papers should be sent to | Landlæknisembættið, Austurströnd 5 Seltjarnes, Iceland | |
| Tel.: 510 1900; Fax: 510 1919; E-mail: | ||
| Norway | Use the anaphylaxis kit | List of contents/picture download from http://www.nafweb.no/ (choose NARA) |
| Blood sample requisition | Download from http://www.nafweb.no/ (choose NARA) | |
| Blood sample should be sent to | Laboratorium for Klinisk Biokjemi | |
| Haukeland Universitetssjukehus | ||
| 5021 Bergen | ||
| Referral papers should be sent to | Northern Norway: Roald Bolle, Tromsø | |
| Middle Norway: Malcolm Sue Chu, Trondheim | ||
| Western Norway: Erik Florvaag, Bergen | ||
| Southern/Eastern Norway: Villum Wilhelmsen, Oslo | ||
| Full addresses from http://www.nafweb.no/ (choose NARA) | ||
| Contact | Tel.: +47 55 97 50 00 | |
| E-mail: | ||
| E-mail: | ||
| Sweden | Blood sample requisition | Download from http://www.sfai.se/ |
| Blood sample should be sent to | Avdelningen för Klinisk Immunologi | |
| Karolinska Universitetssjukhuset Solna | ||
| 171 76 Stockholm | ||
| Contact your local hospital laboratory to obtain information about local routines | ||
| Referral papers | Download from http://www.sfai.se/ | |
| Referral papers should be sent to | Anaesthesia Related Anaphylaxis in Sweden (ARAS) | |
| Anestesi- och intensivvårdskliniken | ||
| Karolinska Universitetssjukhuset Solna | ||
| 171 76 Stockholm |