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[Does common cold increase perioperative respiratory complications in adults?]
Tomoki Nishiyama1, Kazuo Hanaoka
1Department of Anesthesiology, The University of Tokyo, Faculty of Medicine, Tokyo.
Masui. the Japanese Journal of Anesthesiology
|June 22, 2005
Summary
Adults with common cold symptoms undergoing general anesthesia face increased risks of respiratory complications. Postponing elective surgery for at least two weeks after a cold is recommended to mitigate these risks.
Area of Science:
- Anesthesiology
- Respiratory Medicine
- Infectious Diseases
Context:
- Common cold symptoms are prevalent in adults.
- General anesthesia with oro-tracheal intubation is a common surgical procedure.
- Perioperative respiratory complications can significantly impact patient outcomes.
Purpose:
- To investigate the association between common cold symptoms and perioperative respiratory complications in adults undergoing general anesthesia.
- To determine if postponing surgery after a common cold reduces the incidence of adverse respiratory events.
Summary:
- A study compared 30 adults with recent common cold symptoms to 30 asymptomatic adults undergoing general anesthesia and intubation.
- Patients with cold symptoms exhibited a higher incidence of dry/moist rales, increased sputum/cough, and fever.
- Although not statistically significant, severe complications like respiratory/cardiac arrest, pneumonia, and prolonged intubation occurred in the symptomatic group.
Impact:
- Findings suggest a need to delay elective surgeries involving general anesthesia in adults with recent common cold symptoms.
- Recommendations include postponing procedures for at least two weeks post-cold to enhance patient safety and reduce perioperative risks.