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Letters |3 October 2006

Risk Assessment for and Strategies to Reduce Perioperative Pulmonary Complications

Amir Qaseem, MD, PhD, MHA; Vincenza Snow, MD

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Author, Article, and Disclosure Information
  • From the American College of Physicians, Philadelphia, PA 19106.

    Potential Financial Conflicts of Interest: None disclosed.

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IN RESPONSE:
Dr. Qaseem makes an important point about acid suppression prophylaxis in a subset of patients at increased risk for pulmonary aspiration of gastric contents during surgery. Although we agree, acid suppression is widely used for gastrointestinal prophylaxis. As Dr. Qaseem pointed out, even though the acid aspiration syndrome is a critical perioperative complication, it is limited to a very small subset of patients. The use of acid suppression solely as a preventive strategy for pulmonary complications was excluded from our review. These patients need to be individually evaluated and managed appropriately.
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Qaseem A, Snow V. Risk Assessment for and Strategies to Reduce Perioperative Pulmonary Complications. Ann Intern Med. 2006;145:553. doi: 10.7326/0003-4819-145-7-200610030-00017

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Published: Ann Intern Med. 2006;145(7):553.

DOI: 10.7326/0003-4819-145-7-200610030-00017

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2006 American College of Physicians
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