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Infektionen mit dem „respiratory syncytial virus“

Unterschätzte Gefahr bei Säuglingsnarkosen

Infections with respiratory syncytial virus

Underestimated risk during anaesthesia in infants

Zusammenfassung

Infektionen mit dem „respiratory syncytial virus“ (RSV) sind für einen Großteil der saisonalen, winterlichen Atemwegserkrankungen verantwortlich. Eine RSV-Infektion hinterlässt keine bleibende Immunität. Erwachsene weisen keine oder nur geringe Symptome auf; sie leiden unter einem „banalen Schnupfen“. Bei Frühgeborenen und kleinen Säuglingen hingegen führen RSV-Infektionen zu einer schweren, gelegentlich lebensbedrohlichen Bronchiolitis. Diese Kinder sind sauerstoffbedürftig und werden nicht selten beatmungspflichtig. Eine RSV-Infektion erhöht das Risiko von Anästhesiekomplikationen bei Säuglingen erheblich – viel mehr als ein „banaler Schnupfen“ bei größeren Kindern. Dies wurde in der anästhesiologischen Literatur bisher kaum erwähnt. Es wird über einen Säugling mit RSV-Erkrankung, der nach einer Narkose wegen einer Bagatellverletzung 9 Tage lang beatmungspflichtig war, berichtet.

Abstract

Infections with respiratory syncytial virus (RSV) are responsible for a large proportion of seasonal winter airway diseases. After an infection with RSV no persistent immunity remains. Adults show no or only a few symptoms similar to the common cold. However, in preterm and newborn children RSV infections lead to severe and even life-threatening bronchiolitis. These children require supplementary oxygen and often need respiratory support. The infection with RSV considerably enhances the risk of anaesthesia-related complications in infants. So far this problem has rarely been mentioned in the literature. We report on an infant with a RSV infection who was ventilation-dependent for 9 days after anaesthesia for a minor intervention.

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Correspondence to J. Wörner.

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Wörner, J., Jöhr, M., Berger, T. et al. Infektionen mit dem „respiratory syncytial virus“. Anaesthesist 58, 1041 (2009). https://doi.org/10.1007/s00101-009-1598-9

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Schlüsselwörter

  • Bronchiolitis
  • Anästhesie
  • Intubation
  • Komplikation

Keywords

  • Bronchiolitis
  • Anaesthesia
  • Intubation
  • Complication