Respiratory System

  • Robert S. Holzman
  • Thomas J. Mancuso
  • Navil F. Sethna
  • James A. DiNardo


A 3-year-old male, 15 kg, is scheduled for functional endoscopic sinus surgery, bilateral myringotomy and tubes, and nasal ciliary biopsy. Vital signs are BP 90/60 mmHg, P 125 bpm, as palpated by his PMI in the right precordium, and T 37.2°C. His hemoglobin is 13.0 g/dL. He has a productive cough, mild expiratory wheezing, does not have a runny nose, and is completing a 14-day course of ampicillin. He uses a beclomethasone inhaler twice daily.


Endotracheal Tube Spontaneous Breathing Skin Blood Flow Functional Endoscopic Sinus Surgery Pulmonary Sequestration 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Kaliner M, Shelhamer J, Borson B, Nadel J, Patow C, Marom Z (1986) Human respiratory mucus. Am Rev Respir Dis 134:612–621PubMedGoogle Scholar
  2. 2.
    Tamaoki J, Chiyotani A, Tagaya E, Sakai N, Konno K (1994) Effect of long term treatment with oxitropium bromide on airway secretion in chronic bronchitis and diffuse panbronchiolitis. Thorax 49:545–548PubMedCrossRefGoogle Scholar
  3. 3.
    Taylor R, Pavia D, Agnew J, Lopez-Vidriero M, Newman S, Lennard-Jones T, Clarke S (1986) Effect of four weeks’ high dose ipratropium bromide treatment on lung mucociliary clearance. Thorax 41:295–300PubMedCrossRefGoogle Scholar
  4. 4.
    Patel R, Hannallah R, Norden J, Casey W, Verghese S (1991) Emergence airway complications in children: a comparison of tracheal extubation in awake and deeply anesthetized patients. Anesth Analg 73:266–270PubMedGoogle Scholar
  5. 5.
    Pullerits J, Holzman R (1989) Anesthesia for mediastinal masses. Can J Anaesth 36:681–688PubMedCrossRefGoogle Scholar
  6. 6.
    Shamberger R, Holzman R, Griscom N, Tarbell N, Weinstein H (1991) CT quantitation of tracheal cross-sectional area as a guide to the surgical and anesthetic management of children with anterior mediastinal masses. J Pediatr Surg 26:138–142PubMedCrossRefGoogle Scholar
  7. 7.
    Shamberger R, Holzman R, Griscom N, Tarbell N, Weinstein H, Wohl M (1995) Prospective evaluation by computed tomography and pulmonary function tests of children with mediastinal masses. Surgery 118:468–471PubMedCrossRefGoogle Scholar
  8. 8.
    Hirshberg A, Dupper R (1994) Use of doxapram hydrochloride injection as an alternative to intubation to treat chronic obstructive pulmonary disease patients with hypercapnia. Ann Emerg Med 24:701–703PubMedCrossRefGoogle Scholar
  9. 9.
    Patrick J, Meyer-Witting M, Reynolds F, Spencer G (1990) Perioperative care in restrictive respiratory disease. Anesthesia 45:390–395CrossRefGoogle Scholar
  10. 10.
    Schure A, Holzman R (2000) Anesthesia in a child with severe restrictive pulmonary dysfunction caused by chronic graft-versus-host disease. J Clin Anesth 12:482–486PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Robert S. Holzman
    • 1
  • Thomas J. Mancuso
    • 1
  • Navil F. Sethna
    • 1
  • James A. DiNardo
    • 1
  1. 1.Children’s Hospital BostonHarvard Medical SchoolBostonUSA

Personalised recommendations