[Anesthetic Management for Patients with Bronchial Asthma]

Bronchial asthma is a major disease with bronchial hyperreactivity. In Japan, patients with bronchial asthma are increasing in number. Bronchospasm may be evoked by tracheal intubation, and it may increase perioperative complications. In some cases, broncho- constriction may lead to a poor outcome. The treatment of asthmatic attack and the long-term management for bronchial asthma are described in the Japa- nese Asthma Prevention and Management Guideline 2015 (JGL2015). There is no specific strategy for anesthesia in patients with bronchial asthma, but we should know its treatment and management on the basis of JGL2015. It is important that we are prepared for asthmatic attack during anesthesia, and we should consider the perioperative management for asthma patients.