A Problem-Based Learning Discussion Concerning Management of Perioperative Anaphylaxis to Glucocorticoids or “And What Do You Take for That Allergy?”

Abstract

Abstract At our institution, we developed a problem-based learning discussion (PBLD) module to teach our trainees about allergy and anaphylaxis. This resource is meant to be used in a small-group session, in which a moderator leads the group through a discussion of the clinical case and guides them through the questions contained within. Ideally, participants should be provided with the resource file well before this session, so that they may become familiar with the case, the questions, and the model discussion. The session should last approximately 1 hour. This PBLD will help learners understand the pathophysiology and treatment of anaphylaxis, as well as familiarize them with allergy to agents not typically thought of as being allergenic. It has been highly reviewed by both residents at our local institution, and by attending physicians who participated at the American Society of Anesthesiologists annual conference. Learners in both groups appreciated an improvement in their knowledge base about allergy, anaphylaxis, and the intraoperative management thereof. They stated that this pathology is a common concern in their practice, and that this session helped them to structure their thinking about responding to anaphylaxis.

Keywords

• Anaphylaxis
• Steroids
• Allergy and Immunology
• Transplants