Intravenous fluids given with approximate start times AFTER the onset of the reaction _____:_____ ………………….. _____:_____ ..………………… _____:_____ ………………….. _____:_____ ………………….. Comments on response to treatment Outcome Survived: Yes No □ □ Transfer to: Ward HDU ICU Other □ □ □ ………………………………… Anaesthetic techniques and procedures. Latex free environment? Yes No □ □ Central venous access of CVC Time: ……h Skin prep ……………………… Type …………………… Was a coated catheter used? Yes No □ □ Neuraxial blockade Spinal Epidural Epi-spinal Skin □ □ □ Prep……………………………..
Intravenous fluids given AFTER the onset of the reaction with approximate start times ………………….. _____:_____ ..………………… _____:_____ ………………….. _____:_____ ………………….. _____:_____ Comments on response to treatment Outcome Survived: Yes □ No □ Transfer to: Ward □ HDU □ ICU □ Other ………………………………… Anaesthetic techniques and procedures. Latex free environment? Yes □ No □ Central venous access Time: ……h Skin prep ……………………… Type of CVC …………………… Was a coated catheter used? Yes □ No □ Neuraxial blockade Spinal □ Epidural □ Epi-spinal □ Skin Prep……………………………..