An update on the perioperative management of children with upper respiratory tract infections

被引：62

作者：

Regli, Adrian ^{[1
,2
,3
]}

Becke, Karin ^{[4
]}

von Ungern-Sternberg, Britta S. ^{[5
,6
]}

机构：

[1] Fiona Stanley Hosp, Dept Intens Care, Murdoch, WA, Australia

[2] Univ Western Australia, Sch Med & Pharmacol, Nedlands, WA, Australia

[3] Univ Notre Dame, Sch Med, Perth, WA, Australia

[4] Cnopfsche Kinderklin, Klin Hallerwiese, Dept Anesthesia & Intens Care, Nurnberg, Germany

[5] Princess Margaret Hosp Children, Dept Anesthesia & Pain Management, Subiaco, WA, Australia

[6] Univ Western Australia, Sch Med & Pharmacol, Perth, WA, Australia

来源：

CURRENT OPINION IN ANESTHESIOLOGY | 2017年 / 30卷 / 03期

关键词：

anaesthesia management; paediatric anaesthesia; respiratory adverse events; upper respiratory tract infections; RANDOMIZED-CONTROLLED-TRIAL; ADVERSE EVENTS; REFLEX RESPONSES; RISK-FACTORS; VENTILATION STRATEGIES; TRACHEAL INTUBATION; PEDIATRIC-PATIENTS; COMMON COLD; ANESTHESIA; COMPLICATIONS;

D O I：

10.1097/ACO.0000000000000460

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Purpose of review This review summarizes the current evidence for the management of children with recent upper respiratory tract infections (URTIs). Furthermore, the review includes management guidelines for children with URTIs. Recent findings Good history and clinical examination is sufficient in most children presenting with URTI. Testing for immune markers or preoperative nitric oxide measurement does not add any additional value. Preoperative bronchodilator administration, intravenous induction with propofol, and noninvasive airway management all reduce the occurrence of respiratory adverse events. Summary Most children can be safely anaesthetized even in the presence of an URTIs if the perioperative anaesthesia management is optimized. In this review article, we have included a management algorithm for children with URTI presenting for elective surgery.

引用

页码：362 / 367

页数：6

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