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Is antihistaminergic H2 really useful in prevention of hypersensitivity induced by paclitaxel? Support Care Cancer 2016; 24:4475-7. [PMID: 27480180 DOI: 10.1007/s00520-016-3366-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2016] [Accepted: 07/28/2016] [Indexed: 10/21/2022]
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Quecedo Gutiérrez L, Ruiz Abascal R, Calvo Vecino JM, Peral García AI, Matute González E, Muñoz Alameda LE, Guasch Arévalo E, Gilsanz Rodríguez F. "Do not do" recommendations of the Spanish Society of Anaesthesiology, Critical Care and Pain Therapy. "Commitment to Quality by Scientific Societies" Project. ACTA ACUST UNITED AC 2016; 63:519-527. [PMID: 27418334 DOI: 10.1016/j.redar.2016.05.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2016] [Accepted: 05/07/2016] [Indexed: 10/21/2022]
Abstract
In April 2013 the Ministry of Health (MSSSI) adopted the project called "Commitment to Quality by Scientific Societies in Spain", in response to social and professional demands for sustainability of the health system. The initiative is part of the activities of the Spanish Network of Agencies for Health Technology Assessment and Services of the National Health System, and is coordinated jointly by the Quality and Cohesion Department, the Aragon Institute of Health Sciences (IACS), and the Spanish Society of Internal Medicine (SEMI). All the scientific societies in Spain have been included in this project, and its main objective is to reduce the unnecessary use of health interventions in order to agree "do not do" recommendations, based on scientific evidence. The primary objective was to identify interventions that have not proven effective, have limited or doubtful effectiveness, are not cost-effective, or do not have priority. Secondary objectives were: reducing variability in clinical practice, to spread information between doctors and patients to guide decision-making, the appropriate use of health resources and, the promotion of clinical safety and reducing iatrogenesis. The selection process of the 5 "do not do" recommendations was made by Delphi methodology. A total of 25 panellists (all anaesthesiologists) chose between 15 proposals based on: evidence that supports quality, relevance, or clinical impact, and the people they affect. The 5 recommendations proposed were: Do not maintain deep levels of sedation in critically ill patients without a specific indication; Do not perform preoperative chest radiography in patients under 40 years-old with ASA physical status I or II; Do not systematically perform preoperative tests in cataract surgery unless otherwise indicated based on clinical history and physical examination; Do not perform elective surgery in patients with anaemia at risk of bleeding until a diagnostic workup is performed and treatment is given; and not perform laboratory tests (blood count, biochemistry and coagulation) prior to surgery in healthy or low risk patients (ASA I and II) with minimal estimated blood loss.
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Affiliation(s)
- L Quecedo Gutiérrez
- Sección de Gestión Clínica de la SEDAR, Servicio de Anestesia, Hospital La Princesa, Madrid, España
| | - R Ruiz Abascal
- Sección de Gestión Clínica de la SEDAR, Servicio de Anestesia, Hospital Sanitas La Moraleja, Madrid, España
| | - J M Calvo Vecino
- Sección de Gestión Clínica de la SEDAR, Servicio de Anestesia, Hospital Universitario Infanta Leonor, Madrid, España.
| | - A I Peral García
- Sección de Gestión Clínica de la SEDAR, Servicio de Anestesia, Hospital La Princesa, Madrid, España
| | - E Matute González
- Sección de Gestión Clínica de la SEDAR, Servicio de Anestesia, Hospital Sanitas La Moraleja, Madrid, España
| | - L E Muñoz Alameda
- Sección de Gestión Clínica de la SEDAR, Servicio de Anestesia, Fundación Jiménez Díaz, IDC Salud, Madrid, España
| | - E Guasch Arévalo
- Sección de Gestión Clínica de la SEDAR, Servicio de Anestesia, Hospital Universitario La Paz, Madrid, España
| | - F Gilsanz Rodríguez
- Sección de Gestión Clínica de la SEDAR, Servicio de Anestesia, Hospital Universitario La Paz, Madrid, España
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Chiriac AM, Demoly P. [Allergy to neuromuscular blocking agents]. Presse Med 2016; 45:768-73. [PMID: 27234905 DOI: 10.1016/j.lpm.2016.02.023] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/01/2016] [Accepted: 02/23/2016] [Indexed: 11/26/2022] Open
Abstract
Allergy to neuromuscular blocking agents (NMBAs) has been the first cause of perioperative anaphylaxis for decades, in most countries. The most frequently involved agents are suxamethonium and rocuronium. The allergy work-up is compulsory to demonstrate or rule out allergy to NMBAs, if there is a compatible clinical history. Doing otherwise exposes the patient to death if the same or related NMBA is re-injected. In cases of true allergy, assessing cross-reactivity to other NMBAs is mandatory. The cross-sensitization hypothesis is presently being investigated and if confirmed, it could allow primary prevention measures to be implemented.
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Affiliation(s)
- Anca-Mirela Chiriac
- Centre hospitalier universitaire de Montpellier, hôpital Arnaud-de-Villeneuve, département de pneumologie et addictologie, unité exploration des allergies, 34295 Montpellier, France; Sorbonne universités, UPMC Paris 06, UMR_S 1136, institut Pierre-Louis d'épidémiologie et de santé publique, équipe EPAR, 75013 Paris, France.
| | - Pascal Demoly
- Centre hospitalier universitaire de Montpellier, hôpital Arnaud-de-Villeneuve, département de pneumologie et addictologie, unité exploration des allergies, 34295 Montpellier, France; Sorbonne universités, UPMC Paris 06, UMR_S 1136, institut Pierre-Louis d'épidémiologie et de santé publique, équipe EPAR, 75013 Paris, France
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Current World Literature. Curr Opin Allergy Clin Immunol 2012; 12:440-5. [DOI: 10.1097/aci.0b013e328356708d] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Mertes PM, Demoly P, Malinovsky JM. Complications anaphylactiques et anaphylactoïdes de l’anesthésie générale. ACTA ACUST UNITED AC 2012. [DOI: 10.1016/s0246-0289(12)59003-1] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Malinovsky JM, Lavaud F, Demoly P, Mertes PM, Plaud B. [Recommendations would be applied in all centers]. ANNALES FRANCAISES D'ANESTHESIE ET DE REANIMATION 2011; 30:765-766. [PMID: 21908158 DOI: 10.1016/j.annfar.2011.06.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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