Anaesthetic management of the child with co-existing pulmonary disease

R. Lauer, Marissa Vadi, L. Mason

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

SummaryChildren with co-existing pulmonary disease have a wide range of clinical manifestations with significant implications for anaesthetists. Although there are a number of pulmonary diseases in children, this review focuses on two of the most common pulmonary disorders, asthma and bronchopulmonary dysplasia (BPD). These diseases share the physiology of bronchoconstriction and variably decreased flow in the airways, but also have unique physiological consequences. The anaesthetist can make a difference in outcomes with proper preoperative evaluation and appropriate preparation for surgery in the context of a team approach to perioperative care with implementation of a stepwise approach to disease management. An understanding of the importance of minimizing the risk for bronchoconstriction and having the tools at hand to treat it when necessary is paramount in the care of these patients. Unique challenges exist in the management of pulmonary hypertension in BPD patients. This review covers medical treatment, intraoperative management, and postoperative care for both patient populations.

Original languageEnglish (US)
JournalBritish Journal of Anaesthesia
Volume109
Issue numberSUPPL1
DOIs
StatePublished - Dec 1 2012
Externally publishedYes

Keywords

  • anaesthesia
  • asthma
  • bronchoconstriction
  • bronchopulmonary dysplasia
  • perioperative period

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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