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Anaesthetic management of the child with co-existing pulmonary disease

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Presentation on theme: "Anaesthetic management of the child with co-existing pulmonary disease"— Presentation transcript:

1 Anaesthetic management of the child with co-existing pulmonary disease
R Lauer, M Vadi, L Mason  British Journal of Anaesthesia  Volume 109, Pages i47-i59 (December 2012) DOI: /bja/aes392 Copyright © 2012 The Author(s) Terms and Conditions

2 Fig 1 The importance of pre-anaesthetic assessment and planning in reducing the risk for perioperative bronchospasm in asthmatics undergoing general anaesthesia. Modified from Liccardi et al. with permission.32 British Journal of Anaesthesia  , i47-i59DOI: ( /bja/aes392) Copyright © 2012 The Author(s) Terms and Conditions

3 Fig 2 Suggested stepwise approach to the preoperative treatment of asthmatic patients based on their degree of asthma control. ICS, inhaled corticosteroids; LABA, long-acting β-2 agonist; OCS, oral corticosteroids; SABA, short-acting β-2 agonist. Modified from Liccardi et al. with permission.32 British Journal of Anaesthesia  , i47-i59DOI: ( /bja/aes392) Copyright © 2012 The Author(s) Terms and Conditions

4 Fig 3 Options for the delivery of inhaled medications to intubated children. (a) MDI actuated inside a 60 ml syringe and connected to the gas-sampling port of the circuit elbow. (b) Delivery via a 19 G i.v. catheter advanced out of the end of the tracheal tube. (c) Valved MDI spacer positioned between the circuit ‘Y’ and the tracheal tube. (d) Jet nebulizer positioned in the inspiratory limb of a neonatal intensive care unit ventilator circuit. British Journal of Anaesthesia  , i47-i59DOI: ( /bja/aes392) Copyright © 2012 The Author(s) Terms and Conditions


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