[Diagnostic, etiologic and therapeutic problems confronting the anesthesiologist in cases of bronchial spasm. Apropos of 4 cases].
The authors recall the symptoms of peroperative and early postoperative bronchospasm. They emphasise the etiology and the treatment. In fact, bronchospasm may be induced by several causes:--mechanical or chemical vagal stimulation;--direct or allergic-induced histamine liberation, induced by certain drugs (mainly curare);--taking beta-blockaders before operation, favoured by the use of morphine during operation;--finally, any irritation of the bronchi (inhalation of gastric juice, pulmonary embolism, pulmonary oedemal). The treatment is etiological but also symptomatic:--enrich the inspired air with oxygen;--inject I.V. 1/2 to 1mg of atropine;--in case of failure, one should use Salbutamol I.V. which is very effective during contraction of the bronchial muscles;--massive corticosteroid therapy will be effective in mucosal oedema.
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000420:Albuterol / Q000008:administration & dosage / Q000627:therapeutic use; D000768:Anesthesia, General / Q000009:adverse effects*; D001285:Atropine / Q000008:administration & dosage / Q000627:therapeutic use; D001986:Bronchial Spasm / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006636:Histamine Release; D006801:Humans; D007275:Injections, Intravenous; D011183:Postoperative Complications
D000305:Adrenal Cortex Hormones; D001285:Atropine; D000420:Albuterol
Problèmes diagnostique, étiologique et thérapeutique posés à l'anesthésiste par le bronchospasme. A propos de 4 observations.