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[Children with bronchial hyperreactivity: is it a problem for the anaesthetist?]
1Unité d'anesthésie pédiatrique, hôpital des Enfants, hôpitaux universitaires de Genève, 6, rue Willy-Donzé, 1205 Genève, Suisse.
Annales Francaises D'Anesthesie Et De Reanimation
|August 30, 2003
Summary
Identifying patients with hyperreactivity and understanding its mechanisms are key to preventing peri-operative respiratory adverse events. Preoperative strategies include maintaining inhaled steroids and using bronchodilators, antihistamines, and anticholinergics.
Area of Science:
- Anesthesiology
- Pulmonology
- Pharmacology
Context:
- Peri-operative respiratory adverse events pose risks for patients with hyperreactivity.
- Understanding the physiopathological mechanisms of hyperreactivity is essential for risk mitigation.
Purpose:
- To outline strategies for identifying patients with hyperreactivity.
- To detail preoperative and anesthetic management for preventing respiratory complications.
Summary:
- Preoperative assessment involves continuing anti-inflammatory treatments like inhaled steroids.
- Premedication includes beta2-agonists, antihistamines, and anticholinergic drugs to prevent bronchoconstriction.
- Anesthesia management utilizes inhalation agents, particularly isoflurane, for its protective and bronchodilatory effects.
Impact:
- Improved patient safety during surgical procedures.
- Reduced incidence of peri-operative respiratory adverse events.
- Enhanced anesthetic protocols for hyperreactive patients.