Abstract
Bronchospasm is a common diagnosis during anesthesia but it is rarely the correct one. Bronchoconstriction or narrowing of airways from loss of lung volume is a far more common cause of wheezing and difficulty with ventilation during anesthesia. The main reason for distinguishing between these two entities is that the treatment is different. Administration of bronchodilators is ineffective and wastes valuable time if the cause of wheezing and airway obstruction is loss of lung volume or bronchoconstriction.
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References
Pizov R, Brown RH, Weiss YS, Baranov D, Hennes H, Baker S, Hirshman CA. Wheezing during induction of general anesthesia in patients with and without asthma. Anesthesiology. 1995;82:1111–6.
Hirshman CA. Airway reactivity in humans: anesthetic implications. Anesthesiology. 1983;58:170–7.
Jooste E, Klafter F, Hirshman CA, Emala CW. A mechanism for rapacuronium-induced bronchospasm: M2 muscarinic receptor antagonism. Anesthesiology. 2003;98:906–11.
Hickey RF, Graf PD, Nadel JA, Larson CP. The effects of halothane and cyclopropane on total pulmonary resistance in the dog. Anesthesiology. 1969;31:334–43.
Larson CP, Nadel JA. Relationship between airway conductance and airway volume in man. Fed Proc. 1963;22:340.
Briscoe WA, Dubois AB. The relationship between airway resistance, airway conductance and lung volume in subjects of different age and body size. J Clin Invest. 1958;37:1279–85.
Tammeling GJ, Sluiter HJ. The influence of lung volume, flow rate, and esophageal pressure on the sagittal diameter of the trachea in patients with and without airway obstruction. Am Rev Respir Dis. 1965;92:919–31.
Gold MI. Treatment of bronchospasm during anesthesia. Anesth Analg. 1975;54:783–6.
Johnson EB, Gold MI. Bronchospasm during pelvic surgery: prostaglandin-kinin pathogenesis? Anesth Analg. 1983;62:104–8.
Durant PAC, Joucken K. Bronchospasm and hypotension during cardiopulmonary bypass after preoperative cimetidine and labetalol therapy. Br J Anaesth. 1984;56:917–9.
Cooley DM, Glosten B, Roberts JR, Eppes PD, Barnes RB. Bronchospasm after intramuscular 15-methyl prostaglandin F2a and endotracheal intubation in a nonasthmatic patient. Anesth Analg. 1991;73:87–9.
Olsson GL. Bronchospasm during anesthesia. A computer-aided incidence study of 136,929 patients. Acta Anaesthesiol Scand. 1987;31:244–52.
Kumeta Y, Hattori A, Mimura M, Kishikawa K, Namiki A. A survey of perioperative bronchospasm in 105 patients with reactive airway disease. Masui. 1995;44:396–401.
Warner DO, Warner MA, Barnes RD, Offord KP, Schroeder DR, Gray DT, Yunginger JW. Perioperative respiratory complications in patients with asthma. Anesthesiology. 1996;85:460–7.
Mallampati SR. Bronchospasm during spinal anesthesia. Anesth Analg. 1981;60:839–40.
Naguib M. How serious is the bronchospasm induced by rapacuronium? Anesthesiology. 2001;94:924–5.
Meakin GH, Pronske EH, Lerman J, Orr R, Jaffe D, Savaree AM, Lynn AM. Bronchospasm after rapacuronium in infants and children. Anesthesiology. 2001;94:926–7.
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Larson, C.P., Jaffe, R.A. (2017). Bronchospasm vs. Bronchoconstriction: A Different View. In: Practical Anesthetic Management. Springer, Cham. https://doi.org/10.1007/978-3-319-42866-6_7
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DOI: https://doi.org/10.1007/978-3-319-42866-6_7
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