Medical

Anaphylaxis with airway involvement

Before / During / After / Pitfalls

Before

• Epinephrine and resuscitation are first-line; airway plan depends on edema, stridor, and shock.
• Call help early; prepare for swelling and bronchospasm.
• Preoxygenate and stage smaller tube, suction, cric backup.

During

• Avoid delays if airway edema is progressing.
• Expect bronchospasm and hypotension; ventilator/pressor plan ready.
• Confirm tube and reassess shock after PPV.

After

• Continue anaphylaxis management and observation/ICU pathway.
• Treat bronchospasm and adjust ventilation as needed.
• Plan extubation carefully if edema persists.

Pitfalls

• Airway focus without epinephrine/resuscitation.
• No smaller tube backup.
• Under-recognizing post-intubation bronchospasm.