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[Thoracotomy for patients with bronchial asthma]
H Kodama1, I Yoshida, S Ishikawa
1Second Department of Surgery, Gunma University School of Medicine, Maebashi.
Rinsho Kyobu Geka = Japanese Annals of Thoracic Surgery
|June 1, 1994
Summary
Perioperative management of bronchial asthma patients undergoing thoracotomy is crucial. Sufficient airway hyperreactivity suppression ensures safe surgical procedures and prevents asthma-related complications.
Area of Science:
- Thoracic Surgery
- Pulmonology
- Anesthesiology
Background:
- Bronchial asthma presents unique challenges for patients undergoing major thoracic surgery like thoracotomy.
- Effective perioperative management is essential to mitigate risks associated with airway hyperreactivity.
Observation:
- Three patients with bronchial asthma underwent thoracotomy with a specific perioperative management protocol.
- The protocol involved the administration of theophylline, steroid agents, beta-stimulators, and bronchodilative anesthetics.
Findings:
- Preoperative administration of theophylline and steroids led to the disappearance or reduction of wheezing.
- Sufficient intraoperative and postoperative steroid use prevented asthma-related signs and side effects.
- Surgical procedures, including giant bulla resection and lobectomies, were performed safely.
Implications:
- Comprehensive perioperative management effectively controls airway hyperreactivity in asthma patients undergoing thoracotomy.
- This approach enables safe surgical intervention and improves patient outcomes.
- Highlights the importance of airway management in thoracic surgery for patients with reactive airways.