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Updated: Jun 22, 2026

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
Published on: November 4, 2010
[Management of perioperative bronchospasm.]
Cássio Campello de Menezes1, Joaquim Edson Vieira
1Divisão de Anestesiologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo.
Anesthesiologists frequently encounter asthma during surgery. Steroids and halogenates are common bronchospasm treatments, but standardized protocols are needed for better asthma management in anesthesia.
Area of Science:
- Anesthesiology
- Respiratory Medicine
- Clinical Practice
Context:
- Increasing prevalence of asthma cases in perioperative settings.
- Anesthesiologists require updated knowledge on managing bronchospasm.
- Upper airway infection (UAI) management in anesthesia is a growing concern.
Purpose:
- Investigate current bronchospasm management techniques used by anesthesiologists.
- Assess the incidence of bronchospasm in surgical patients.
- Understand anesthesiologists' approaches to patients with UAI.
Summary:
- A survey of 73 anesthesiologists reported a 0.90% bronchospasm incidence.
- Commonly used treatments include steroids (90.41%) and halogenates (68.49%).
- Many anesthesiologists would halt anesthesia for patients with UAI.
Impact:
- Highlights the need for standardized international protocols for asthma management during anesthesia.
- Emphasizes the importance of specific treatments like inhalational beta2-agonists and steroids.
- Aims to improve perioperative care for patients with reactive airway disease.
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