title: Perioperative considerations for the food-allergic pediatric patient.
abstract: Patients with a history of food allergy and food intolerance are common in the pediatric population and are encountered frequently in the perioperative setting by pediatric anesthesiologists. Perioperatively, food allergy can present on a spectrum ranging from minor acute urticaria to more severe hypovolemia and anaphylactic shock. Allergy to foods including fruits, fish, egg, soy, and peanut are most concerning for their potential to cross-react with perioperative medications. There is little in the anesthesia literature that focuses on the perioperative management of children with food allergies. This educational review will provide a brief overview of classic immunoglobulin E (IgE)-mediated food allergies, less common non-IgE food allergies, and present perioperative considerations for these patients. An audio summary of this topic is included as Supplementary Audio S1.
authors.affiliation: Department of Anesthesiology, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, CO, USA.
authors.forename: Patrick G
authors.initials: PG
authors.lastname: Fernandez
authors.affiliation: Department of Anesthesia and Pain Management, Cook County Hospital, Chicago, IL, USA.
authors.forename: Marco
authors.identifier: http://orcid.org/0000-0002-5869-2295
authors.initials: M
authors.lastname: Mikhael
mesh_terms: D000293:Adolescent; D000758:Anesthesia; D002648:Child; D002675:Child, Preschool; D005512:Food Hypersensitivity / Q000276:immunology / Q000628:therapy*; D006801:Humans; D006969:Hypersensitivity, Immediate / Q000276:immunology / Q000628:therapy; D007223:Infant; D007231:Infant, Newborn; D019990:Perioperative Care / Q000379:methods*
keywords: 
  FPIES
  ; anaphylaxis; anesthesia; children; food allergy; surgery