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May 1990

Anesthetic Choice for the Asthmatic Patient-Reply

Author Affiliations

Keesler Air Force Base, Miss

Arch Intern Med. 1990;150(5):1116. doi:10.1001/archinte.1990.00390170140033

In Reply. —Dr Barnette feels that internists should not tell anesthesiologists how to do their job. I agree. I disagree with the implication that internists should be primarily concerned with better serving their anesthesia colleagues. A frank discussion between internist and anesthetist or anesthesiologist regarding coordinated management immediately before, during, and after surgery could only be beneficial for the patient. If, in the course of that discussion, the anesthesiologist is able to enlighten the internist on new developments in his field, so much the better, and vice versa. Also, I suspect that internists other than myself have been emergently called to the operating room to help manage a patient with severe bronchospasm after induction. They might also have found themselves in the presence of an anesthetist who was not as knowledgeable about anesthetic management of severe asthma as Dr Barnette. Should the internist reassure himself that the majority of practicing

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