Surgery in corticosteroid-dependent asthmatics

Oh, Seoung Wug; Patterson, Roy

doi:10.1016/0091-6749(74)90118-3

Cited by 38 publications

(10 citation statements)

References 13 publications

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“…Furthermore, patients who have received systemic glucocorticosteroids within the previous 6 months should have systemic coverage during the surgical period (100 mg hydrocortisone every 8 h intravenously). This should be rapidly reduced 24 h following surgery, as prolonged systemic glucocorticosteroid therapy may inhibit wound healing (Evidence C) [384].…”

Section: Surgerymentioning

confidence: 99%

Global strategy for asthma management and prevention: GINA executive summary

Bateman

Ss²,

Barnes³

et al. 2007

Eur Respir J

2,666

2,301

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Asthma is a serious health problem throughout the world. During the past two decades, many scientific advances have improved our understanding of asthma and ability to manage and control it effectively. However, recommendations for asthma care need to be adapted to local conditions, resources and services. Since it was formed in 1993, the Global Initiative for Asthma, a network of individuals, organisations and public health officials, has played a leading role in disseminating information about the care of patients with asthma based on a process of continuous review of published scientific investigations. A comprehensive workshop report entitled ''A Global Strategy for Asthma Management and Prevention'', first published in 1995, has been widely adopted, translated and reproduced, and forms the basis for many national guidelines. The 2006 report contains important new themes. First, it asserts that ''it is reasonable to expect that in most patients with asthma, control of the disease can and should be achieved and maintained,'' and recommends a change in approach to asthma management, with asthma control, rather than asthma severity, being the focus of treatment decisions. The importance of the patient-care giver partnership and guided self-management, along with setting goals for treatment, are also emphasised.

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Section: Surgerymentioning

confidence: 99%

Global strategy for asthma management and prevention: GINA executive summary

Bateman

Ss²,

Barnes³

et al. 2007

Eur Respir J

2,666

2,301

View full text Add to dashboard Cite

show abstract

“…"Furthermore, patients who have received systemic glucocorticosteroids within the past 6 months should have systemic coverage during the surgical period (i.e., 100 mg hydrocortisone every 8 h intravenously) and rapidly reduced within 24 h following surgery. Prolonged glucocorticosteroid therapy inhibits wound healing" [69].…”

Section: Preoperative Management Of Asthmamentioning

confidence: 99%

Guideline-oriented perioperative management of patients with bronchial asthma and chronic obstructive pulmonary disease

2008

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Increased airway hyperresponsiveness is a major concern in the perioperative management of patients with bronchial asthma and chronic obstructive pulmonary disease. Guidelines using evidence-based medicine are continually being updated and published regarding the diagnosis, treatment, and prevention of these respiratory disorders. Perioperative management in these patients involves: (1) adequate control of airway hyperresponsiveness, including detection of purulent sputum and infection before surgery; (2) evidence-based control of anesthesia; and (3) the aggressive use of beta-2 adrenergic stimulants and the systemic administration of steroids for the treatment of acute attacks. Good preoperative control, including the use of leukotriene antagonists, can reduce the incidence of life-threatening perioperative complications. Awareness of recent guidelines is thus important in the management of patients with airway hyperresponsiveness. This review covers the most recent guidelines for the perioperative management of patients with bronchial asthma and chronic obstructive pulmonary disease.

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“…Patient cessation of cigarette smoking, introduction of vigorous lung-expansion maneuvers, administration of antibiotics if respiratory infection is present, and treatment of airway obstruction have all been suggested as preventive measures in these patient groups [8]. Moreover, several researchers have shown that prophylactic treatment with systemic corticosteroids is safe in patients with severe asthma and COPD [2,4,9] and may help them to tolerate surgery better with fewer complications [3,9]. This is true even for severe corticosteroid-dependent asthmatics [9].…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, several researchers have shown that prophylactic treatment with systemic corticosteroids is safe in patients with severe asthma and COPD [2,4,9] and may help them to tolerate surgery better with fewer complications [3,9]. This is true even for severe corticosteroid-dependent asthmatics [9]. However, the efficacy by route of administration (systemic versus inhaled corticosteroids) has not yet been investigated [1-4,8-12]…”

Section: Introductionmentioning

confidence: 99%