Wheezing during Induction of General Anesthesia in Patients with and without Asthma 

Abstract

This study suggests that propofol should be considered for induction of anesthesia in patients, particularly those with asthma, who require timely intubation.

The effect of preoperative anxiety on the incidence of perioperative bronchospasm: a prospective observational study

“…Gold and Helrich indicated the bronchospasm seen in patients under general anesthesia as 8.1%.25 According to a study conducted by Pizov et al, [25]. 42% wheezing was determined in asthma patients in the auscultation after intubation under general anesthesia, and 6.25% wheezing in non-asthmatic ones [26]. Although our patient profile was composed of non-asthmatic healthy individuals, in our study, too, bronchospasm and wheezing incidences were found higher, like in the study of Pizov et al [26].…”

“…42% wheezing was determined in asthma patients in the auscultation after intubation under general anesthesia, and 6.25% wheezing in non-asthmatic ones [26]. Although our patient profile was composed of non-asthmatic healthy individuals, in our study, too, bronchospasm and wheezing incidences were found higher, like in the study of Pizov et al [26]. This result is most likely related to the method of data collection and to the more sensitive criteria used for establishing the diagnosis of bronchospasm.…”

“…Certain volatile anesthetic agents, if introduced quickly, can trigger bronchospasm [26]. It was particularly indicated that desflurane increased the airway resistance [10].…”

“…It was particularly indicated that desflurane increased the airway resistance [10]. Some IV anesthetics increase the wheezing incidences and effect the respiratory mechanics, as well [26]. In the study Pizov et al conducted, they interpreted the wheezing frequency during the general anesthesia induction in non-asthmatic patients.…”

“…In the study Pizov et al conducted, they interpreted the wheezing frequency during the general anesthesia induction in non-asthmatic patients. They observed wheezing incidences at high rates and different according the medication used [26]. In addition, IV agents, such as beta-blockers, NSAIDs and cholinesterase inhibitors can cause bronchospasm.…”