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Anaesthetic management of the child with co-existing pulmonary disease

R Lauer1, M Vadi, L Mason

  • 1Department of Anesthesiology, Loma Linda University, 11234 Anderson Street, Loma Linda, CA 92354, USA. rlauer@llu.edu

British Journal of Anaesthesia
|December 18, 2012
PubMed

Insights

This review details anesthetic management for pediatric asthma and bronchopulmonary dysplasia (BPD), focusing on minimizing bronchoconstriction and managing pulmonary hypertension for improved surgical outcomes.

Area of Science:

  • Pediatric Anesthesiology
  • Pulmonary Medicine
  • Critical Care

Background:

  • Children with pulmonary diseases present complex anesthetic challenges.
  • Asthma and bronchopulmonary dysplasia (BPD) are common pediatric pulmonary disorders with shared and unique physiological consequences.

Purpose of the Study:

  • To review the anesthetic implications of asthma and BPD in children.
  • To provide guidance on preoperative evaluation, intraoperative management, and postoperative care for these patients.

Main Methods:

  • Literature review focusing on pediatric asthma and BPD.
  • Analysis of perioperative care strategies and disease management.

Main Results:

  • Both asthma and BPD involve bronchoconstriction and airflow limitation.
  • BPD presents unique challenges, including pulmonary hypertension.
  • A stepwise approach to disease management and minimizing bronchoconstriction is crucial.

Conclusions:

  • Anesthetists play a vital role in optimizing outcomes for children with asthma and BPD.
  • Effective perioperative care requires a team approach, careful preoperative assessment, and preparedness for managing bronchoconstriction and pulmonary hypertension.

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