The ISPAR Group vision
Scope
The prevention, clinical recognition, clinical management and diagnostic investigation of suspected perioperative allergic reactions.
Aims
- Improve treatment of perioperative allergy
- Improve investigation of perioperative allergy
- Generate evidence
- Better serve the patients who experience perioperative allergy
- Reduce the incidence of perioperative allergy
Objectives
- Share best practice
- Develop guidelines
- Develop and publish patient information
- Promote and undertake basic and clinical research in the area of perioperative allergy
- Promote education and training of relevant physicians and other healthcare professionals
- Promote interdisciplinary collaboration
Vehicles
- Formation of a formal international cross-disciplinary group as an umbrella for groups that already exist such as ANZAAG and similar national and regional networks
- A regular international meeting on perioperative allergy
- Website
The ISPAR Group Management Board

Lene Heise Garvey
Denmark
Chair of the ISPAR Group
Lene is a specialist in Anaesthesiology and Allergology based in Copenhagen. She is co-founder and Head of the Danish Anaesthesia Allergy Centre, established in 1999. She is a Professor at the University of Copenhagen and a consultant in the Perioperative & General Allergy Clinics at Gentofte Hospital. She is secretary of the EAACI Drug Allergy Interest Group and a member of the WAO drug hypersensitivity committee. Research interests include all aspects of perioperative allergy and drug allergy, and mechanisms and treatment of anaphylaxis.

Sarah Green
australia
Vice-Chair of the ispar group
Sarah is a clinician anaesthesiologist based in Sydney, Australia. She has been involved with clinical, educational, research, and governance responsibilities of the Perioperative Allergy Service at Royal North Shore Hospital Sydney since 2011. This service was founded in the 1980s and has evolved to become a cohesive cross-disciplinary unit. Anaesthetists, immunologists, nursing, laboratory, and health administrator staff have conjoint responsibilities to care for more than 300 patients annually, spanning their acute phase treatment, diagnostic evaluation and follow-up of perioperative allergy problems. Sarah is a member of the Australian New Zealand Anaesthetic Allergy Group and is interested in the global reduction of iatrogenic harm in anaesthetic practice.

Didier Ebo
Belgium
Didier is an immunologist/allergist based in Antwerp & Ghent. His main interest is the molecular mechanisms of basophil & mast cell degranulation during immediate drug hypersensitivity reactions. In 2000 he set up a reference centre for the investigation of suspected anaesthetic allergic reactions in Flanders with > 800 patients seen to date. Didier’s research interests include in vitro diagnosis of suspected perioperative allergic reactions, validation of IgE assays & basophil activation tests.

Jerry Volcheck
USA
Jerry is an allergist/immunologist at Mayo Clinic in Rochester, Minnesota: he is chairman of the Division of Allergic Diseases and Associate Professor. He is a fellow of the American Academy of Allergy, Asthma & Immunology and the American College of Allergy, Asthma & Immunology. His interest in perioperative allergy began during his Allergy & Immunology fellowship: his group’s paper detailing perioperative allergy at Mayo Clinic was the first in the USA from a large medical centre in 20 years.

Louise Savic
uk
Louise is a consultant anaesthetist with a clinical and research interest in drug allergy and perioperative anaphylaxis. She is currently a doctoral fellow with the NIHR, investigating drug allergy in surgical patients. Working closely with the British Society of Allergy and Clinical Immunology and Clinical Immunology Professional Network, she is leading a cross speciality working party for improving allergy care among surgical patients, including the implementation of routine penicillin allergy delabelling

Tomonori
Takazawa
JAPAN
Tomonori is an anesthesiologist in Toyama, Japan. He is a professor and chair of the Department of Anesthesiology, Faculty of Medicine, University of Toyama. He has been working on identifying the cause of perioperative anaphylaxis over the past ten years. In particular, he is focusing on the molecular basis of anaphylaxis caused by sugammadex. He is the principal investigator of a multicenter study of perioperative anaphylaxis, the Japanese Epidemiologic Study for Perioperative Anaphylaxis (JESPA).

Jose Julio
Laguna
spain
Jose Julio is an allergology and Clinical Immunology Specialist. He is head of the Allergy Department, Allergy-Anaesthesia Unit at University Hospital Cruz Roja. Madrid Spain. Associate Professor of Medicine and Biomedicine at Alfonso X El Sabio University in Madrid.
Leading research projects focusing on perioperative hypersensitivity, endotype characterization through molecular analysis, and the incidence of perioperative hypersensitivity reactions. aim to enhance our understanding of allergic reactions occurring during the perioperative period and identify specific endotypes to tailor treatment strategies effectively

Liana Maria Torres de Araújo Azi
brazil
Liana Maria Torres de Araújo Azi is a professor and clinical anesthesiologist based in Salvador, Bahia, Brazil, with a special interest in perioperative hypersensitivity reactions and medical education. As a faculty member, she is actively involved in training future anesthesiologists and conducting research on perioperative patient safety. She is part of the Brazilian Hypersensitivity Study Group and the Anaphylaxis Project, which connects allergists and anesthesiologists across Brazil to improve the diagnosis and management of perioperative anaphylaxis. Currently, she is involved in a study investigating the impact of continuing or suspending surgeries in patients experiencing intraoperative hypersensitivity reactions.

Charles Tacquard
france
Charles is a Professor of Anaesthesia and Intensive Care at Strasbourg University Hospital. Charles has worked with Professor Mertes for several years and runs the GERAP network which comprises 40 centres throughout France. In addition to clinical activities in the allergology clinic, Charles develops full-dose provocation tests for anaesthetic drugs. He studies the epidemiology of perioperative hypersensitivity reactions, as well as the mechanisms responsible for the most severe reactions.

Thanachit
Krikeerati
Thailand
Junior Member
Thanachit is an allergist in Bangkok, Thailand and has a broad interest in allergology, focusing on drug and perioperative allergies. His interest extends to molecular allergology, food allergy, and allergen immunotherapy. He’s also interested in systematic reviews, clinical epidemiology, and predictive models.He’s also active junior member of AAIAT, APAAACI, and EAACI.

Anna
Littlejohns
UK
Junior member
Anna is an academic clinical fellow in anaesthetics in the UK. She is part of the Leeds Perioperative Allergy Service and is a currently developing a structured approach to defining diagnostic certainty in patients with suspected perioperative allergy.
Partner organisations
- Australian and New Zealand Anaesthetic Allergy Group
- British Journal of Anaesthesia
- European Academy of Allergy and Clinical Immunology
- European Society of Anaesthesiology and Intensive Care (ISPAR is an affiliated Specialist Society of ESAIC)
