Severe intraoperative bronchospasm treated with a vibrating-mesh nebulizer.

Abstract

Bronchospasm and status asthmaticus are two of the most dreaded complications that a pediatric anesthesiologist may face. With the occurrence of severe bronchospasm and the inability to ventilate, children are particularly vulnerable to apnea and ensuing hypoxia because of their smaller airway size, smaller lung functional residual capacity, and higher oxygen consumption rates than adults. Nebulized medication delivery in intubated children is also more difficult because of smaller endotracheal tube internal diameters. This case demonstrates the potentially lifesaving use of a vibrating-mesh membrane nebulizer connected to the anesthesia circuit for treating bronchospasm.

• Authors: Leonard R Golden, Helen Ann DeSimone, Farhad Yeroshalmi, Mindaugas Pranevicius, Mana Saraghi
• Journal: Anesthesia progress (Anesth Prog) Vol. 59 Issue 3 Pg. 123-6 ( 2012) ISSN: 0003-3006 [Print] United States
• PMID: 23050752 (Publication Type: Journal Article)

Chemical References

• Aerosols
• Albuterol, Ipratropium Drug Combination
• Anesthetics, Inhalation
• Bronchodilator Agents
• Methyl Ethers
• Sevoflurane
• Ipratropium
• Nitrous Oxide
• Albuterol
• Oxygen

Topics

• Aerosols
• Albuterol (administration & dosage, therapeutic use)
• Albuterol, Ipratropium Drug Combination
• Anesthesia, Inhalation (instrumentation)
• Anesthetics, Inhalation (administration & dosage)
• Asthma (complications)
• Bronchial Spasm (drug therapy)
• Bronchodilator Agents (administration & dosage)
• Child, Preschool
• Equipment Design
• Female
• Humans
• Intraoperative Complications (therapy)
• Intubation, Intratracheal
• Ipratropium (administration & dosage)
• Methyl Ethers (administration & dosage)
• Nebulizers and Vaporizers
• Nitrous Oxide (administration & dosage)
• Oxygen (administration & dosage, blood)
• Peak Expiratory Flow Rate (drug effects)
• Preanesthetic Medication
• Sevoflurane
• Tidal Volume (drug effects)