Related Experiment Video
Updated: Jul 25, 2025
Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
Published on: November 4, 2010
Perioperative Care of the Pediatric Patient and an Algorithm for the Treatment of Intraoperative Bronchospasm
Birva Khara1, Joseph D Tobias2,3
1Department of Anesthesiology, Shree Krishna Hospital, Pramukhswami Medical College and Bhaikaka University, Karamsad, Gujarat, India.
Insights
Asthma patients undergoing anesthesia face increased intraoperative bronchospasm risk. This review covers perioperative care, risk factors, and a treatment algorithm for this common anesthetic emergency.
Area of Science:
- Anesthesiology
- Pulmonology
- Pediatric Anesthesia
Background:
- Asthma is a prevalent comorbidity in patients requiring anesthesia.
- It elevates the risk of intraoperative bronchospasm due to chronic airway inflammation.
- Increasing respiratory conditions necessitate better perioperative management strategies.
Purpose of the Study:
- To review the perioperative anesthetic care of pediatric patients with asthma.
- To identify and discuss modifiable risk factors for intraoperative bronchospasm.
- To outline the differential diagnosis of intraoperative wheezing and suggest a treatment algorithm.
Main Methods:
- Literature review focusing on perioperative management of asthma.
- Analysis of risk factors contributing to intraoperative bronchospasm.
- Development of a diagnostic and treatment algorithm for wheezing during anesthesia.
Main Results:
- Asthma significantly increases the likelihood of intraoperative bronchospasm.
- Preoperative risk factor assessment and mitigation are crucial.
- A structured approach to diagnosis and treatment improves management of acute events.
Conclusions:
- Effective perioperative management of pediatric asthma patients is essential.
- Recognizing and mitigating risks can prevent intraoperative bronchospasm.
- A clear treatment algorithm aids in resolving this emergency.
Abstract:
Asthma remains a common comorbid condition in patients presenting for anesthetic care. As a chronic inflammatory disease of the airway, asthma is known to increase the risk of intraoperative bronchospasm. As the incidence and severity of asthma and other chronic respiratory conditions that alter airway reactivity is increasing, a greater number of patients at risk for perioperative bronchospasm are presenting for anesthetic care. As bronchospasm remains one of the more common intraoperative adverse events, recognizing and mitigating preoperative risk factors and having a pre-determined treatment algorithm for acute events are essential to ensuring effective resolution of this intraoperative emergency. The following article reviews the perioperative care of pediatric patients with asthma, discusses modifiable risk factors for intraoperative bronchospasm, and outlines the differential diagnosis of intraoperative wheezing. Additionally, a treatment algorithm for intraoperative bronchospasm is suggested.
Related Concept Videos
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
01:26COPD: Management Using Bronchodilators and Corticosteroids
01:30Asthma-IV: Nursing Management
First, in...
01:29Acute Respiratory Failure-V
Ensure that patients are monitored continuously for their response to therapy, including changes in...