The risk of anesthesia in the asthmatic child

Pradal, M.; Vialet, Renaud; Soula, Florian; Dejode, J.M.; Lagier, P.

doi:10.1002/ppul.1950191127

Cited by 9 publications

(4 citation statements)

References 8 publications

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“…Barbiturates, as compared to propofol, produce weaker inhibition of airway contraction [141,142], and when used alone, may actually induce airway smooth muscle contraction [9]. Ketamine has bronchodilatory effects [140] and is suitable for tracheal intubation in asthmatic patients [143]. Because ketamine increases airway secretions, however, propofol is preferable as an intravenous anesthetic.…”

Section: Intravenous Anestheticsmentioning

confidence: 98%

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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Section: Intravenous Anestheticsmentioning

confidence: 98%

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

2008

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“…Techniques which avoid tracheal intubation, when appropriate for surgery, may be less likely to provoke bronchospasm. 60…”

Section: Asthmamentioning

confidence: 99%

Medical assessment of the paediatric patient

Black

1999

British Journal of Anaesthesia

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“…Severe allergic reactions to either of these agents when applied topically have not been reported, although systemic absorption via broken or inflamed skin (such as in atopic dermatitis) may lead to toxicity (54,55). Ketamine has been advocated as the intravenous agent of choice for induction of anesthesia in patients with severe asthma (56). It has a bronchodilator effect possibly mediated by direct relaxation of airway smooth muscle, in addition to inhibition of vagal pathways and augmentation of catecholamine release.…”

mentioning

confidence: 99%

“…For example, drugs which precipitate the release of histamine from mast cells might contribute to bronchospasm. Morphine appears to induce histamine release more easily than fentanyl, and atracurium more so than suxamethonium (56).…”

mentioning

confidence: 99%