Correspondence  |   October 2016
In Reply
Author Notes
  • Johns Hopkins University School of Medicine, Baltimore, Maryland (A.L.).
  • (Accepted for publication June 16, 2016.)
    (Accepted for publication June 16, 2016.)×
Article Information
Correspondence   |   October 2016
In Reply
Anesthesiology 10 2016, Vol.125, 814-815. doi:10.1097/ALN.0000000000001272
Anesthesiology 10 2016, Vol.125, 814-815. doi:10.1097/ALN.0000000000001272
Pasquier et al.1  bring up the topic of perioperative bleeding and its management in resource-limited settings as a global public health issue, particularly in the context of massive, and often fatal, hemorrhage in the postpartum and trauma contexts. While the topic is a very pertinent one, we did not focus on it in our study, which aimed to describe anesthetic procedures that are safe and feasible in the rather unusual clinical contexts where Médecins Sans Frontières (MSF) operates.2  Given the limitations of our database, we were unable to ascertain the cause of perioperative mortality and could not quantify the incidence of specific perioperative complications or their management, like perioperative bleeding. The extraction of such information would require a dedicated chart review of individual patient records, a topic worthy of research in the future when the resources are available.
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