A contemporary approach to the treatment of preoperative bronchospasm

Research output: Contribution to journalReview article


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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