Publications by authors named "Jean M Malinovsky"

Background: Although poorly studied, chronic postsurgical neuropathic pain (CPNP) represents the second most frequent chronic neuropathic pain etiology, probably affecting 0.5% to 75% of patients with a severe impact on quality of life (QoL). No consensus or treatment algorithm has been elaborated to date, despite a large variety of approaches now available.

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Background: Neuromuscular blocking agents (NMBAs) are among the leading cause of perioperative anaphylaxis, and most of these reactions are IgE mediated. Allergic sensitisation induced by environmental exposure to other quaternary ammonium-containing compounds, such as pholcodine, has been suggested. The aim of this study was to assess the relationship between pholcodine exposure and NMBA-related anaphylaxis.

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Article Synopsis
  • The study investigates the effectiveness of epinephrine versus arginine vasopressin (AVP) in treating anaphylactic shock (AS) in a rat model, focusing on airway response and arterial pressure.
  • Results showed that while both drugs prolonged survival, epinephrine significantly improved arterial pressure and reduced airway obstruction compared to AVP.
  • The findings suggest that epinephrine is the preferred treatment for managing airway complications during anaphylactic shock, as it outperformed AVP in restoring normal respiratory function.
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Purpose Of Review: Immediate hypersensitivity reactions are an important cause for mortality and morbidity in anesthesia. The present review considers reports covering epidemiology, diagnosis, and treatment of these reactions.

Recent Findings: Immediate hypersensitivity reactions are largely under-reported, adult women being at significantly higher risk than men.

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Background: Vital dyes are widely used for lymphatic mapping and sentinel lymph node biopsy in patients with malignant tumors, and reports of anaphylactic reactions are becoming more frequent.

Objective: Our aims were to describe specific clinical features of hypersensitivity reactions to Patent Blue (Guerbet, Roissy, France), results of the allergy workup, and their consequences for patient management.

Methods: We report a series of 14 clinical cases of dye-induced anaphylaxis recorded between 2004 and 2006 in 4 member centers of a network of French allergoanesthesia outpatient clinics.

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