A contemporary approach to the treatment of preoperative bronchospasm

Research output: Contribution to journalReview articlepeer-review


he incidence of asthma is increasing, and the ageing of the United States population is leading to an increase in the prevalence of patients living with chronic obstructive pulmo-nary disease. This has led to an increased need to manage bronchospasm in the perioperative period. Very effective methods to treat bronchospasm like intravenous dexmedeto-midine, lidocaine, magnesium, ketamine and steroids as well as inhalational sevoflurane are available but are currently underused. Inhaled beta-2 agonists like albuterol are instead often relied upon as the sole therapeutic agent – often with limited response. Just like with pain management, the suc-cessful treatment of perioperative bronchospasm requires a multimodal approach. The diagnosis of intraoperative bronchospasm must be rapid, and the treatment must be ef-fective to prevent the dreaded “dynamic hyperinflation syn-drome”. This article reviews the diagnosis of bronchospasm and the contemporary treatment methods that should be employed to prevent bronchospasm-related morbidity and mortality during the perioperative period.

(24) (PDF) Translational Perioperative and Pain Medicine A Contemporary Approach to the Treatment of Perioperative Bronchospasm. Available from: https://www.researchgate.net/publication/339398579_Translational_Perioperative_and_Pain_Medicine_A_Contemporary_Approach_to_the_Treatment_of_Perioperative_Bronchospasm [accessed Mar 22 2020].
Original languageEnglish (US)
Pages (from-to)190-99
Number of pages10
JournalTransl Perioper & Pain Med
Issue number2
Early online dateJan 13 2020
StatePublished - Jan 13 2020


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