Control of asthma for reducing the risk of bronchospasm in asthmatics undergoing general anesthesia and/or intravascular administration of radiographic contrast media

Abstract

C o p y r i g h t © 2 0 0 9 I n f o r m a U K L i m i t e d N o t f o r S a l e o r C o m m e r c i a l D i s t r i b u t i o n U n a u t h o r i z e d u s e p r o h i b i t e d . A u t h o r i s e d u s e r s c a n d o w n l o a d ,

Use of sugammadex in patients with a history of pulmonary disease

“…This figure is comparable to the 2.6% of patients who experienced bronchospasm in the current study. However, there is some degree of variation in the literature in incidence of perioperative and postoperative bronchospasm in patients with asthma, ranging from 0.8% -20% [30,[32][33][34][35]. This variation may reflect differences in the activity and severity of the asthma in the patients in these studies.…”

“…It is widely recognized that patients with hyperactive airway diseases such as asthma are at increased risk of intraoperative bronchospasm [1][2][3]30], and this may explain why bronchospasm was observed in these two patients with a history of moderate and severe asthma, respectively. Anticipation of possible bronchospasm is recommended for patients with a history of pulmonary complications who receive sugammadex [31].…”

Perioperative Anaesthetic Management in Asthma

“…This thorough review of an asthmatic's history and the appropriate preoperative preparations can significantly reduce the risk of adverse outcomes. [16] The risk of intraoperative bronchospasm, one of the most feared complications of asthma, can be increased by the presence of atopy, eczema, allergic rhinitis, and other conditions of chronic inflammation. [17] A family history of asthma and atopy should be sought and is also a marker of increased perioperative risk.…”

Anesthesia in Children with Asthma and Rhinitis

“…However, the role and benefits of preoperative medication to limit pulmonary complications in asthmatic patients have not been determined. A stepwise approach to preoperative treatment of asthmatics undergoing general anesthesia based on their level of control of asthma symptoms is suggested (9).…”