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Procedure: Anesthesia

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Total 774 results found since Jan 2013.

Utility of Preoperative Laboratory Testing for Ambulatory Endoscopic Sinonasal Surgery in Low-Risk Patients
CONCLUSIONS: Our analysis did not reveal an association between the use of PLT and postoperative morbidity or unplanned readmission in low-risk patients undergoing outpatient ESS.PMID:36343940 | DOI:10.1177/19458924221136648
Source: American Journal of Rhinology and Allergy - November 7, 2022 Category: ENT & OMF Authors: Rushi Patel Sejal Shah Sudeepti Vedula Ariel Omiunu Prayag Patel Jean Anderson Eloy Soly Baredes Christina H Fang Source Type: research

Knowledge of anaphylaxis management among latin american dentists
Anaphylaxis is a severe and potentially life-threatening disorder that could occur in dental practice and can be triggered by antibiotics, chlorhexidine, local and general anesthetic and latex. The aim of our study is to assess the knowledge of anaphylaxis management among Latin American dentists.
Source: Annals of Allergy, Asthma and Immunology - November 1, 2022 Category: Allergy & Immunology Authors: J. Gallardo Bastidas, H. Mautong, G. Rouillon Borrero, K. Robles-Velasco, B. Intriago, J. Martin-Delgado, I. Cherrez-Ojeda Tags: P018 Source Type: research

A case of anaphylaxis to sugammadex skin prick testing
Sugammadex is a modified gamma-cyclodextrin gaining increasingly common usage as an anesthetic medication for the rapid reversal of the neuromuscular blocking agents rocuronium and vecuronium. While considered safer than traditional reversal agents, sugammadex is becoming more widely recognized as a rare cause of peri-operative anaphylaxis. There are no standardized skin prick testing protocols or commercially available IgE assays for sugammadex, although previous literature has used an undiluted concentration of 100mg/ml for epicutaneous skin testing.
Source: Annals of Allergy, Asthma and Immunology - November 1, 2022 Category: Allergy & Immunology Authors: M. Dittus, B. Navetta-Modrov Tags: M012 Source Type: research

Anaphylaxis in Pregnancy
Anaphylaxis in pregnancy is a rare event, but has important implications for the pregnant patient and fetus. The epidemiology, pathophysiology, diagnosis, and treatment all carry important considerations unique to the pregnant patient. Common culprits of anaphylaxis are primarily medications, particularly antibiotics and anesthetic agents. Diagnosis can be difficult given the relative lack of cutaneous symptoms, and normal physiologic changes in pregnancy such as low blood pressure and tachycardia. Apart from patient positioning, treatment is similar to that of the general population, with a focus on prompt epinephrine administration.
Source: Immunology and Allergy Clinics of North America - October 27, 2022 Category: Allergy & Immunology Authors: Margaret M. Kuder, Rachael Baird, Maeve Hopkins, David M. Lang Source Type: research

Making a Diagnosis in Allergic Reactions Occurring in the Operating Room
Opinion statementTo summarize the current knowledge of diagnosis in immediate perioperative hypersensitivity reactions (PHR). There is a growing interest in the diagnosis and management of PHR. Recently several clinical guidelines published on PHR; however, its implementation is unknown. The diagnosis and management of PHR is a challenge for both allergologists and anesthesiologists. They are life-threatening and rare reactions, difficult to diagnose for its clinical heterogenic presentation, simultaneous use of many drugs, and the significant pharmacological effects of some drugs. Allergy investigation purpose is to ident...
Source: Current Treatment Options in Allergy - October 20, 2022 Category: Allergy & Immunology Source Type: research

What is Ondine ’ s Curse?
Discussion Congenital central hypoventilation syndrome (CCHS) is an autosomal dominant with variable inheritance genetic disease caused by mutation in the Paired Like Homeobox B2 (PHOX2B) gene on chromosome 4. There are two other genes which may also cause CCHS. CCHS affects the chemoreceptor afferent ventilation pathways and is a neural crest migration problem of the autonomic nervous system. The incidence is unknown but a prevalence of 1 in 200,000 live births has been reported. Obviously it is a rarer phenomenon because of the general lethality of the syndrome. Patients usually present at birth or soon afterwards, but o...
Source: PediatricEducation.org - August 15, 2022 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news

Global patterns of drug allergy-induced fatalities: a wake-up call to prevent avoidable deaths
Purpose of review To identify patterns and key issues though a systematic review in order to support prevention strategies and reduce avoidable deaths related to drug-induced anaphylaxis (DAF). Recent findings DAF rate has been estimated by 0.13–0.53/106 population/year. General global trends of DAF are increasing over time, mostly occurring at healthcare settings (62%) with a similar gender distribution and an average age of 53 years. Antibiotics, anaesthetics, radio-contrast media and NSAIDs were the most frequently implicated agents. Main comorbidities were personal history of drug allergy, cardiovascul...
Source: Current Opinion in Allergy and Clinical Immunology - July 27, 2022 Category: Allergy & Immunology Tags: DRUG ALLERGY: Edited by Paul Whitaker and Luciana K. Tanno Source Type: research

A Case of Tooth Extraction in a Patient with Food-Dependent Exercise Induced Anaphylaxis
AbstractA 29-year-old Japanese man with food-dependent exercise-induced anaphylaxis (FDEIA) underwent tooth extraction under general anesthesia. FDEIA is a rare condition in which anaphylaxis occurs due to exercise load or oral administration of NSAIDs after ingestion of allergens. Wheat is often the cause in FEDIA, defined as wheat-dependent exercise-induced anaphylaxis (WDEIA). It is an allergy that is not well known in the dental field. Patients may ingest the causative food on a regular basis because they do not develop without factors such as exercise. Post extraction period was uneventful as the patient was instructe...
Source: Journal of Maxillofacial and Oral Surgery - May 19, 2022 Category: ENT & OMF Source Type: research

Allergy to Local Anesthetics is a Rarity: Review of Diagnostics and Strategies for Clinical Management
AbstractLocal anesthetics (LA) are commonly used in procedures and in topical agents for pain management. With the increasing use of LA drugs, the management of LA reactions is more frequently encountered in the office and in operating rooms. True allergic reactions involving IgE-mediated reactions and anaphylaxis are rare; they have only been identified in case reports and account for less than 1% of adverse LA reactions. Most reactions are non-allergic or are a result of hypersensitivity to other culprits such as preservatives, excipients, or other exposures. LA reactions that are misclassified as true allergies can lead...
Source: Clinical Reviews in Allergy and Immunology - April 28, 2022 Category: Allergy & Immunology Source Type: research

Risk Factors for Immediate-Type Local Anesthetic Hypersensitivity Reactions in Pediatric Patients: A Retrospective Case-Control Study
Source: Journal of Asthma and Allergy - April 8, 2022 Category: Allergy & Immunology Tags: Journal of Asthma and Allergy Source Type: research

Skin Testing Approaches for Immediate and Delayed Hypersensitivity Reactions
In evaluating adverse drug reactions (ADRs), patch tests (PTs), skin prick tests (SPTs), and intradermal tests (IDTs) are useful tools for identifying responsible drugs and finding safe alternatives. Their diagnostic value depends on the clinical features of the ADR and on the drug tested. PTs have a good sensitivity in assessing acute generalized exanthematous pustulosis and drug rash with eosinophilia and systemic symptoms. SPTs done with all drugs except opiates are used for immediate hypersensitivity reactions. IDTs seem sensitive for immediate hypersensitivity reactions to beta-lactam antibiotics, iodinated contrast m...
Source: Immunology and Allergy Clinics of North America - March 31, 2022 Category: Allergy & Immunology Authors: Annick Barbaud, Antonino Romano Source Type: research

With All Eyes on BA.2, Here ’ s What Experts Say Might Happen in the U.S.
For the last two years, the U.S. has been stuck in a cycle of COVID-19 case spikes and lulls. Cases rise dramatically, then drop off—and the process repeats. Several times, these surges have been preceded by rising case rates in Europe—such as before last year’s Delta wave and the start of last winter’s Omicron spike—which is why experts have been carefully monitoring a recent increase in cases there. More than 5.2 million COVID-19 infections were reported across Europe during the week ending March 20, according to World Health Organization data, and countries including the U.K. have also repo...
Source: TIME: Health - March 25, 2022 Category: Consumer Health News Authors: Jamie Ducharme Tags: Uncategorized COVID-19 healthscienceclimate Source Type: news