Management of The Patient with Reactive Airway Disease
Asthma is a condition that affects 10% of the population and thus, patients at risk for perioperative bronchospasm present frequently for anesthesia care. Although most events are mild, the occasional life threatening episode presents a major challenge for the anesthesiologist. The impact of asthma on perianesthetic morbidity is unclear. Converse and Smotrilla noted that intraoperative deaths were more likely to occur in asthmatics as non asthmatics. Gold and Heirich found no deaths but a higher incidence of respiratory complications. Contemporary optimal management of asthma requires knowledge of 1) the pathophysiology, 2) the effect of various anesthetic agents and maneuvers, as well as 3) the various bronchodilator drugs.
KeywordsMast Cell Severe Asthma Total Lung Capacity Status Asthmaticus Mucosal Edema
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