[Does common cold increase perioperative respiratory complications in adults?].
BACKGROUND
We investigated whether perioperative respiratory complications increase in adults with common cold symptom.


METHODS
Thirty patients who had had a common cold (nasal congestion, rhinorrhea, sneeze, cough, sputa, or fever) in two weeks before general anesthesia and other 30 patients without any symptoms were enrolled in this study. All the patients were anesthetized with intravenous or inhalation anesthetics and were intubated. The incidences of bronchospasm, laryngospasm, dry or moist rale on lung field, increase in sputa or cough, and fever were checked during and for 5 days after, surgery.


RESULTS
More patients with common cold showed dry or moist rale, increase in sputa or cough, and fever than those without common cold. Even though these were not statistically significant, three severe complications, respiratory as well as cardiac arrest, pneumonia, and prolonged intubation due to increased sputa, were observed.


CONCLUSIONS
General anesthesia with oro-tracheal intubation should be postponed at least two weeks after common cold in adults.
Nishiyama
Tomoki
T
Department of Anesthesiology, The University of Tokyo, Faculty of Medicine, Tokyo.
Hanaoka
Kazuo
K
D000328:Adult; D000768:Anesthesia, General; D003139:Common Cold / Q000150:complications*; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D012120:Respiration Disorders / Q000453:epidemiology* / Q000209:etiology; D013514:Surgical Procedures, Operative