Anaphylaxis surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1], Associate Editor(s)-in-Chief: Dushka Riaz, MD

Overview

Surgery is not the first-line treatment option for patients with anaphylaxis.

Indications

• Surgical intervention is not recommended for the management of anaphylaxis. Surgery is usually reserved with patients with laryngeal edema.

Surgery

In severe situations with profuse laryngeal edema (swelling of the airway), cricothyrotomy or tracheotomy may be required to maintain oxygenation. In these procedures, an incision is made through the anterior portion of the neck, over the cricoid membrane, and an endotracheal tube is inserted to allow mechanical ventilation of the victim.