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Anesthetic Considerations in Asthmatic Patients

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Bronchial Asthma

Abstract

Perioperative mortality from asthma is low, but “bronchospasm” continues to cause intraoperative death (1). Preoperative preparation can avoid serious intraoperative asthma-related complications, even in severe, poorly controlled asthmatics who present for emergency surgery.

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References

  1. Keenan RL and Boyan CP. Cardiac arrest due to anesthesia. JAMA 1985; 253:2373–2377.

    Article  PubMed  CAS  Google Scholar 

  2. Downes H and Hirshman CA. The Basenji-Greyhound (B-G) dog model of asthma: role of irritant reflexes. Am. Rev. Resp. Dis. 1980; 121:66.

    Google Scholar 

  3. Kingston HG and Hirshman CA. Perioperative management of the patient with asthma. Anesth. Analg. 1984; 63:844–855.

    Article  PubMed  CAS  Google Scholar 

  4. Barton MD. Anesthetic problems with aspirin-intolerant patients. Anesth. Analg. 1975; 54:376–380.

    Article  PubMed  CAS  Google Scholar 

  5. Oh SH and Patterson R. Surgery in corticosteroid-dependent asthmatics. J. Allergy Clin. Immunol. 1974; 53:345–351.

    Article  PubMed  CAS  Google Scholar 

  6. Sealy WC, Young WG, Jr., and Houck WS, Jr. The use of steroids for the control and prevention of serious respiratory embarrassment during and after intrathoracic operations. J. Thor. Cardiovasc. Surg. 1960; 39:109–116.

    CAS  Google Scholar 

  7. Shnider SM and Papper EM. Anesthesia for the asthmatic patient. Anesthesiology 1961; 22:886–892.

    Article  PubMed  CAS  Google Scholar 

  8. Richards W, Thompson J, and Lewis G. Cardiac arrest associated with halothane anesthesia in a patient receiving theophylline. Ann. Allergy 1988; 61:83–84.

    PubMed  CAS  Google Scholar 

  9. Roizen MF and Stevens WC. Multiform ventricular tachycardia due to the interaction of aminophylline and halothane. Anesthesiology 1978; 57:738–741.

    CAS  Google Scholar 

  10. Roizen MF and Stevens WC. Arrhythmogenicity of theophylline and halothane used in combination. Anesth. Analg. 1979; 58:260.

    Article  Google Scholar 

  11. Winter B. Bilateral carotid body resection for asthma and emphysema. Int. Surg. 1972; 57:458–466.

    PubMed  CAS  Google Scholar 

  12. Winter B. Carotid body resection. Controversy&# x2014;confusion—conflict. Ann. Thoracic Surg. 1973; 16:648–659.

    Article  CAS  Google Scholar 

  13. Cottrell JE, Wolfson B, and Siker ES. Changes in airway resistance following droperidol, hydroxyzine, and diazepam in normal volunteers. Anesth. Analg. 1976; 55:18–21.

    PubMed  CAS  Google Scholar 

  14. Heinonen J and Muittari A. The effect of diazepam on airway resistance in asthmatic. Anaesthesia 1972; 27:37–40.

    Article  PubMed  CAS  Google Scholar 

  15. Prokocimer PG, Nicholis E, and Gaba DM. Epinephrine arrhythmogenicity is enhanced by acute, but not chronic, aminophylline administration during halothane anesthesia in dogs. Anesthesiology 1986; 65:13–18.

    Article  PubMed  CAS  Google Scholar 

  16. Stirt JA, Berger JM, and Sullivan SF. Lack of arrhythmogenicity of isoflurane following administration of aminophylline in dogs. Anesth. Analg. 1983; 62:568–571.

    PubMed  CAS  Google Scholar 

  17. Schwartz HJ, Gilbert IA, and Lenner KA. Metabisulfite sensitivity and local dental anesthesia. Ann. Allergy 1989; 62:83–86.

    PubMed  CAS  Google Scholar 

  18. Lim EK. Inter-scalene brachial plexus block in the asthmatic patient. Anaesthesia 1979; 34:370.

    Article  PubMed  CAS  Google Scholar 

  19. Thiagarajah S, Lear E, and Azar I. Bronchospasm following interscalene brachial plexus block. Anesthesiology 1984; 61:759–761.

    Article  PubMed  CAS  Google Scholar 

  20. Eldor J, Frankel DZN, and Barav BE. Acute bronchospasm during epidural anesthesia in asthmatic patients. J. Asthma 1989; 26:15–16.

    Article  PubMed  CAS  Google Scholar 

  21. Mallampati SR. Bronchospasm during spinal anesthesia. Anesth. Analg. 1981; 60:839–8

    Article  PubMed  CAS  Google Scholar 

  22. McGough EK and Cohen JA. Unexpected bronchospasm during spinal anesthesia. J. Clin. Anesth. 1990; 2:35–36.

    Article  PubMed  CAS  Google Scholar 

  23. Betts EK and Parkin CE. Use of ketamine in an asthmatic child: a case report. Anesth. Analg. 1971; 50:420–421.

    Article  PubMed  CAS  Google Scholar 

  24. Corssen G, Gutierrez J, and Reves JG. Ketamine in the anesthetic management of asthmatic patients. Anesth. Analg. 1972; 51:588–596.

    PubMed  CAS  Google Scholar 

  25. Fisher MM. Ketamine hydrochloride in severe bronchospasm. Anaesthesia 1977; 32:771–772.

    Article  Google Scholar 

  26. Huber FC, Jr., Reves JG, and Gutierrez J. Ketamine: its effect on airway resistance in man. S. Med. J. 1972; 65:1176–1180.

    Article  Google Scholar 

  27. Hirshman CA, Downes H, and Farbood A. Ketamine prevents bronchospasm in asthma: mechanisms involved. Anesthesiology 1979; 51:S363.

    Article  Google Scholar 

  28. Hirshman CA, Krieger W, and Littlejohn G. Ketamine-aminophylline-induced decrease in seizure threshold. Anesthesiology 1982; 56:464–467.

    Article  PubMed  CAS  Google Scholar 

  29. Hirshman CA and Bergman NA. Halothane and enflurane protect against bronchospasm in an asthma dog model. Anesth. Analg. 1978; 57:629–633.

    Article  PubMed  CAS  Google Scholar 

  30. Sergysels R, Amyot R, and Macklem PT. In vivo gas trapping induced by nitrous oxide. J. Appl. Physiol. 1977; 43:414–420.

    PubMed  CAS  Google Scholar 

  31. Vaughn J, Casson H, and Hirshman CA. Anesthetic management of a child with asthma and presumed susceptibility to malignant hyperthermia. Anesthesiology 1983; 58:283–285.

    Article  PubMed  CAS  Google Scholar 

  32. Beam LR. Pancuronium bromide side effects. JAMA 1973; 223:1044.

    Article  PubMed  CAS  Google Scholar 

  33. Daller JA, Erstad B, and Rosado L. Aminophylline antagonizes the neuromuscular blockade of pancuronium but not vecuronium. Crit. Care Med. 1991; 19:983–985.

    Article  PubMed  CAS  Google Scholar 

  34. Fisher DM, Caldwell JE, and Sharma M. Bambuterol (carbamylated terbuta-line) prolongs the duration of action of succinylcholine. Anesthesiology 1988; 69:A495.

    Article  Google Scholar 

  35. Gal TJ and Suratt PM. Resistance to breathing in healthy subjects following endotracheal intubation under topical anesthesia. Anesth. Analg. 1980; 59: 270–274.

    PubMed  CAS  Google Scholar 

  36. Fish JE and Peterman VI. Effects of inhaled lidocaine on airway function in asthmatic subjects. Respiration 1979; 37:201–207.

    Article  PubMed  CAS  Google Scholar 

  37. McAlpine LG and Thomson NE. Lidocaine-induced bronchoconstriction in asthmatic patients. Chest 1989; 96:1012–1015.

    Article  PubMed  CAS  Google Scholar 

  38. Downes H and Hirshman CA. Lidocaine aerosols do not prevent allergic bronchoconstriction. Anesth. Analg. 1981; 60:28–32.

    Article  PubMed  CAS  Google Scholar 

  39. Downes H, Gerber N, and Hirshman CA. I.V. Lignocaine in reflex and allergic bronchoconstriction. Br. J. Anaesth. 1980; 52:873–878.

    Article  PubMed  CAS  Google Scholar 

  40. Downes H, Hirshman CA, and Leon DA. Comparison of local anesthetics as bronchodilator aerosols. Anesthesiology 1983; 58:216–220.

    Article  PubMed  CAS  Google Scholar 

  41. Gold MI. Treatment of bronchospasm during anesthesia. Anesth. Analg. 1975; 54:783–786.

    PubMed  CAS  Google Scholar 

  42. Tokioka H, Saito S, and Takahashi T. Effectiveness of pressure support ventilation for mechanical ventilatory support in patients with status asthmaticus. Acta Anaesthesiologica Scandinavica 1992; 36:5–9.

    Article  PubMed  CAS  Google Scholar 

  43. Bush GL. Aerosol delivery devices for the anesthesia circuit. Anesthesiology 1986; 65:240.

    Article  PubMed  CAS  Google Scholar 

  44. Koska AJ HI and Bjoraker DG. An anesthetic adapter for all metered dose inhalers that is readily available to all. Anesth. Analg. 1989; 69:266–267.

    Article  PubMed  Google Scholar 

  45. Fresoli RP, Smith RM, and Young JA. Use of aerosol isoproterenol in an anesthesia circuit. Anesth. Analg. 1968; 47:127–132.

    Article  PubMed  CAS  Google Scholar 

  46. Tobias JD, Kubos KL, and Hirshman CA. Aminophylline does not attenuate histamine-induced airway constriction during halothane anesthesia. Anesthesiology 1989; 71:723–729.

    Article  PubMed  CAS  Google Scholar 

  47. Berger JM, Stirt JA, and Sullivan SF. Anesthetics and theophylline metabolism. Anesth. Analg. 1985; 64:461.

    Article  CAS  Google Scholar 

  48. Berger JM, Stirt JA, and Sullivan SF. Enflurane, halothane, and aminophylline—uptake and pharmacokinetics. Anesth. Analg. 1983; 62:733–737.

    Article  PubMed  CAS  Google Scholar 

  49. Nakatsu K and Loomis CW. Postanesthetic theophylline elimination. Anesth. Analg. 1986; 65:423.

    Article  PubMed  CAS  Google Scholar 

  50. Strube PJ and Hallam PL. Ketamine by continuous infusion in status asthmaticus. Anaesthesia 1986; 41:1017–1019.

    Article  PubMed  CAS  Google Scholar 

  51. Rock MJ, De La Rocha SR, and L’Hommedieu CS. Use of ketamine in asthmatic children to treat respiratory failure refractory to conventional therapy. Crit. Care Med. 1986; 14:514–516.

    Article  PubMed  CAS  Google Scholar 

  52. Bierman MI, Brown M, and Muren O. Prolonged isoflurane anesthesia in status asthmaticus. Crit. Care Med. 1986; 14:832–833.

    Article  PubMed  CAS  Google Scholar 

  53. Colaco CM, Crago RR, and Weisbert A. Halothane for status asthmaticus in the intensive care unit—a case report. Can. Anaesth. Soc. J. 1978; 25:329–330.

    Article  PubMed  CAS  Google Scholar 

  54. Parnass SM, Feld JM, and Chamberlin WH. Status asthmaticus treated with isoflurane and enflurane. Anesth. Analg. 1987; 66:193–195.

    Article  PubMed  CAS  Google Scholar 

  55. Schwartz SH. Treatment of status asthmaticus with halothane. JAMA 1984; 251:2688–2689.

    Article  PubMed  CAS  Google Scholar 

  56. Raine JM, Palazzo MG, and Kerr JH. Near-fatal bronchospasm after oral nadolol in a young asthmatic and response to ventilation with halothane. Br. Med. J. 1981; 282:548–549.

    Article  CAS  Google Scholar 

  57. Johnston RG, Noseworthy TW, and Friesen EG. Isoflurane therapy for status asthmaticus in children and adults. Chest 1990; 97:698–701.

    Article  PubMed  CAS  Google Scholar 

  58. Landau SN and Kyff JV. Risks of inhalational anesthesia. Crit. Care Med. 1987; 15:801–802.

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. University of California School of Medicine, Davis, CA, USA

    Dennis Fung & Leland Hanowell

  2. University of California School of Medicine, San Diego, CA, USA

    N. Ty Smith

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  1. Dennis Fung
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  2. Leland Hanowell
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Editors and Affiliations

  1. University of California School of Medicine, Davis, CA, USA

    M. Eric Gershwin  & Georges M. Halpern  & 

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© 1994 Springer Science+Business Media New York

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Fung, D., Hanowell, L., Smith, N.T. (1994). Anesthetic Considerations in Asthmatic Patients. In: Gershwin, M.E., Halpern, G.M. (eds) Bronchial Asthma. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-4612-0297-4_28

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  • DOI: https://doi.org/10.1007/978-1-4612-0297-4_28

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-4612-6697-6

  • Online ISBN: 978-1-4612-0297-4

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