Anesthesia in Children with Asthma and Rhinitis

Franceschini, Fabrizio; Benedictis, Fernando Maria de; Peroni, Diego; Gl, Marseglia; Caffarelli, Carlo; Crisafulli, Giuseppe; Indinnimeo, Luciana

doi:10.1177/03946320110240s312

Cited by 5 publications

(6 citation statements)

References 21 publications

(19 reference statements)

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“…The airway must be kept patent ensure proper ventilation (61,62). Intraoperative application of bronchodilators can reduce bronchospasm (63)(64)(65).…”

Section: Anesthesiamentioning

confidence: 99%

Clinical guidelines on perioperative management strategies for enhanced recovery after lung surgery

Gao

Barello

Chen

et al. 2019

Transl Lung Cancer Res

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“…The airway must be kept patent ensure proper ventilation (61,62). Intraoperative application of bronchodilators can reduce bronchospasm (63)(64)(65).…”

Section: Anesthesiamentioning

confidence: 99%

Clinical guidelines on perioperative management strategies for enhanced recovery after lung surgery

Gao

Barello

Chen

et al. 2019

Transl Lung Cancer Res

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“…An asthmatic patient undergoing surgery is therefore at an increased risk for perioperative morbidity and mortality. Detailed patient history and preoperative assessment, including pulmonary function testing, are crucial to reduce the potential risk of surgical complications [10,11,13]. Due to the increased airway hyperreactivity observed in asthmatics, bronchospasm may readily be precipitated by instrumentation, therapeutic drugs, and perioperative complications such as aspiration, infection, or trauma [11,13].…”

Section: Discussionmentioning

confidence: 99%

“…Patients who are diagnosed with asthma inherently carry a risk of perioperative bronchospasm if undergoing procedures requiring the administration of anesthesia [10,11]. As asthma is a prevalent pediatric diagnosis, understanding how this diagnosis impacts outcomes following surgical procedures for common pediatric injuries is crucial to providing high-quality pediatric medical care.…”

Section: Introductionmentioning

confidence: 99%

Asthma and Its Impact on Pediatric Patients Undergoing Surgical Management of Tibial Shaft Fractures

Tveit¹,

Quan²,

Kraft³

et al. 2022

Cureus

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IntroductionTibial shaft fractures are a common presenting injury among the pediatric population. Asthma is also a common diagnosis that is frequently encountered in this population and has a significant impact on healthcare utilization, quality of life, and mortality. Given the high prevalence of these conditions and risks of peri-anesthetic respiratory complications, the purpose of this study was to evaluate an association between asthma and the incidence of 30-day postoperative complications following the surgical management of tibial shaft fractures in the pediatric population. MethodsThe National Surgical Quality Improvement Program-Pediatric database was used to identify pediatric patients who underwent surgical treatment for tibial shaft fractures from 2013-2019. Patients were categorized into two groups: patients with a history of asthma and patients without a history of asthma. Differences in patient demographics, comorbidities, and postoperative complications were assessed using bivariate and multivariate analyses. ResultsOf the 2,649 patients who underwent surgical treatment for tibial shaft fractures, 115 (4.3%) had asthma. Compared to those without asthma, patients with a history of asthma were more likely to have other medical comorbidities. After controlling for the differences in baseline characteristics between the two groups, patients with asthma had an increased risk of prolonged hospital stay (OR 5.78; 95% CI 1.67 to 20.00; p=0.006). ConclusionPediatric patients being surgically treated for tibial shaft fractures with asthma had an increased risk of prolonged hospital stay. It is important that proper preoperative workup, perioperative care, and understanding of the implications of asthma on postoperative recovery are appreciated to reduce prolonged hospitalization lengths and minimize hospital costs associated with tibial shaft fracture surgery.

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“…We first run some pulmonary function tests and assessed his asthma control, as indicated in asthmatic patients who need to undergo general anesthesia [8]. He showed a complete control of the disease symptoms.…”

Section: Case Reportmentioning

confidence: 99%

False Latex Allergy and Allergy Work-up in a Child Undergoing General Anesthesia

Caimmi¹

2013

Pediat Therapeut

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Perioperative immediate hypersensitivity reactions represent rare but not negligible complications during surgery, even in a pediatric environment. Latex is the first cause of hypersensitivity reactions during anesthesia in children. We present the case of a 10 years old asthmatic boy who was labeled as allergic to latex, after an anaphylactic shock occurring right after a general anesthesia. A proper allergy work-up allowed us to rule out such a diagnosis and to precisely advise the anesthesiologist and the surgical team on how to perform a safe intervention on this patient.

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Anesthesia in Children with Asthma and Rhinitis

Cited by 5 publications

References 21 publications

Clinical guidelines on perioperative management strategies for enhanced recovery after lung surgery

Clinical guidelines on perioperative management strategies for enhanced recovery after lung surgery

Asthma and Its Impact on Pediatric Patients Undergoing Surgical Management of Tibial Shaft Fractures

False Latex Allergy and Allergy Work-up in a Child Undergoing General Anesthesia

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