ISSN (print) 1726-9806     ISSN (online) 1818-474X
No. 2 (2024), CLINICAL GUIDELINES
No. 2 (2024)
CLINICAL GUIDELINES

Anaphylactic shock (2nd revision). Clinical guidelines of Russian Association of Allergists and Clinical Immunologists and the All-Russian Public Organization “Federation of Anesthesiologists and Reanimatologists”

Published 27.04.2024
N.I. Ilyina
State Research Center Institute of Immunology FMBA, Moscow, Russia
https://orcid.org/0000-0002-3556-969X
Igor B. Zabolotskikh
Kuban State Medical University, Krasnodar, Russia; Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia; Krasnodar Regional Clinical Hospital No. 2, Krasnodar, Russia
https://orcid.org/0000-0002-3623-2546
N.G. Astafieva
Saratov State Medical University named after V.I. Razumovsky, Saratov, Russia
https://orcid.org/0000-0002-7691-4584
A.Zh. Bayalieva
Kazan State Medical University, Kazan, Russia
https://orcid.org/0000-0001-7577-3284
A.V. Kulikov
Ural State Medical University, Yekaterinburg, Russia
https://orcid.org/0000-0002-7768-4514
T.V. Latysheva
State Research Center Institute of Immunology FMBA, Moscow, Russia; A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia
https://orcid.org/0000-0003-1508-0640
K.M. Lebedinskii
Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia; North-Western State Medical University named after I.I. Mechnikov, St. Petersburg, Russia
https://orcid.org/0000-0002-5752-4812
T.S. Musaeva
Kuban State Medical University, Krasnodar, Russia
https://orcid.org/0000-0001-9285-852X
T.N. Myasnikova
State Research Center Institute of Immunology FMBA, Moscow, Russia
https://orcid.org/0000-0001-8491-195X
A.N. Pampura
Pirogov Russian National Research Medical University (RNRMU), Moscow, Russia
https://orcid.org/0000-0001-5039-8473
R.S. Fassakhov
Kazan Federal University, Kazan, Russia
https://orcid.org/0000-0001-9322-2689
E.M. Shifman
Moscow Regional Research and Clinical Institute, Moscow, Russia
https://orcid.org/0000-0002-6113-8498
#2-2024
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Keywords

anaphylactic shock
epinephrine
anaphylaxis
intensive care
guideline

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1.
Ilyina N.I., Zabolotskikh I.B., Astafieva N.G., Bayalieva A.Z., Kulikov A.V., Latysheva T.V., Lebedinskii K.M., Musaeva T.S., Myasnikova T.N., Pampura A.N., Fassakhov R.S., Shifman E.M. Anaphylactic shock (2nd revision). Clinical guidelines of Russian Association of Allergists and Clinical Immunologists and the All-Russian Public Organization “Federation of Anesthesiologists and Reanimatologists.” Annals of Critical Care. 2024;(2):7-20. doi:10.21320/1818-474X-2024-2-7-20
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Abstract

Anaphylaxis is a severe life-threatening emergency that requires prompt recognition, prompt respond and of lifesaving therapy. Therefore, anaphylaxis can develop both in a medical institution and outside it (outpatient), and physicians of any specialties should be ready to treat this condition. In this regard, clinical guidelines for anaphylaxis have been developed in Russia. Previous version of recommendations were approved by the Russian Association of Allergologists and Clinical Immunologists and the Federation of Anesthesiologists and Resuscitators, approved at a meeting of the Scientific and Practical Council of the Ministry of Health of the Russian Federation (protocol No. 2020 No. 743/12).

The second edition important clarifications have been made in etiology, epidemiology, classification, clinical picture, diagnosis, treatment and prevention of anaphylaxis and clear some definitions for prompt response, and also management of patients with concomitant diseases. Clinical guidelines of anaphylaxis are intended for practitioners of all specialties, students and teachers of medical universities, residents, graduate students.

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