en
Scientific article
Review
French

L'hyperréactivité bronchique de l'enfant : est-ce un problème pour l'anesthésiste ?

Published inAnnales françaises d'anesthésie et de réanimation, vol. 22, no. 7, p. 663-667
Publication date2003
Abstract

Identification of the patients with hyperreactivity and understanding the underlying physiopathological mechanisms are crucial to prevent the occurrence of peri-operative respiratory adverse events in these patients. Preoperative assessment and preparation is based on the maintenance of any long-term anti-inflammatory treatment, especially the inhaled steroids. Furthermore, premedication is based on the administration of a beta2-agonist, antihistamine and anticholinergic drugs that are able to prevent against lung constriction induced by either vagal stimuli or endogenous mediators such as histamine. Anaesthesia management is primarily based on the use of inhalation agents and especially, isoflurane, which has both a protective and a potent bronchodilation effect.

Keywords
  • Anesthesia, Inhalation/adverse effects
  • Bronchial Hyperreactivity/complications/physiopathology
  • Child
  • Humans
  • Intubation, Intratracheal
  • Preoperative Care
Citation (ISO format)
PELLEGRINI, Michel, HABRE, Walid. L’hyperréactivité bronchique de l’enfant : est-ce un problème pour l’anesthésiste ? In: Annales françaises d’anesthésie et de réanimation, 2003, vol. 22, n° 7, p. 663–667. doi: 10.1016/S0750-7658(03)00176-X
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Article (Published version)
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ISSN of the journal0750-7658
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