RT Book, Section
A1 Rawtani, Nina
A1 Taheripour, Mohebat
A2 Freeman, Brian S.
A2 Berger, Jeffrey S.
SR Print(0)
ID 1135742562
T1 Pediatric Respiratory Diseases
T2 Anesthesiology Core Review: Part Two Advanced Exam
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9781259641770
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1135742562
RD 2024/04/19
AB Viral  upper  respiratory  infections  (URIs)  can  increase  complications  in  many  children  in  the  perioperative  period  of  anesthesia.  Some  complications  include  bronchospasm,  hypoxemia,  strider  caused  by  subglottic  edema,  atelectasis,  laryngospasm,  coughing,  and  breath  holding.  It  is  important  to  obtain  a  thorough  history  because  events  such  as  history  of  prematurity,  reactive  airways  disease,  parental  smoking,  and  the  symptoms  of  URI  are  considered  perioperative  risks  as  well.  However,  there  are  some  studies  that  do  not  find  a  correlation  with  URIs  and  postoperative  complications,  and  thus  it  is  important  to  weigh  the  potential  risk  with  the  need  for  surgery.  A  chest  radiograph  may  also  be  indicated  as  well.  Elective  procedure  can  be  delayed  1–2  weeks  for  a  recent  uncomplicated  URI.  If  there  is  lower  airway  involvement,  delay  is  4–6  weeks  as  a  conservative  approach.