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Related Experiment Videos

Asthma, surgery, and general anesthesia: a review.

Jyothi Tirumalasetty1, Leslie C Grammer

  • 1Division of Allergy-Immunology, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611, USA.

The Journal of Asthma : Official Journal of the Association for the Care of Asthma
|July 1, 2006
PubMed
Summary

Asthma patients undergoing surgery need optimized management, including preoperative assessment and potential corticosteroid use. Systemic corticosteroids can be safely administered to reduce asthma-related complications during surgical procedures.

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Area of Science:

  • Pulmonary Medicine
  • Anesthesiology
  • Surgical Care

Background:

  • Over 20 million Americans have asthma.
  • Many asthma patients require surgical procedures.
  • Asthma management requires optimization during surgical periods.

Purpose of the Study:

  • To review the preoperative assessment and management of asthma patients.
  • To evaluate the safety and efficacy of preoperative systemic corticosteroids in asthma patients undergoing surgery.

Main Methods:

  • Specialized history and physical examination.
  • Pulmonary function testing.
  • Assessment of preoperative corticosteroid and bronchodilator use.

Main Results:

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  • Systemic corticosteroids and bronchodilators may be indicated to prevent inflammation and bronchoconstriction.
  • Corticosteroid use did not adversely affect wound healing or increase postoperative infections.
  • Preoperative systemic corticosteroids can be safely used in most patients.
  • Conclusions:

    • Optimized asthma management, including preoperative assessment and potential corticosteroid use, is crucial for patients undergoing surgery.
    • Preoperative systemic corticosteroids are safe and effective in reducing asthma-related morbidity in surgical patients.