Von Ungern-Sternberg, B.
An update on the perioperative management of children with upper respiratory tract infections.
Current Opinion in Anaesthesiology, 30 (3), 362-367.
Purpose of review: This review summarises the current evidence for the management for children with recent upper respiratory tract infections. Furthermore, the review includes management guidelines for children with upper respiratory tract infections.
Recent findings: Good history and clinical examination is sufficient in most children presenting with URTI. Testing for immune markers or preoperative NO measurement does not add any additional value. Preoperative bronchodilator administration, iv induction with propofol and non-invasive airway management all reduce the occurrence of respiratory adverse events.
Summary: Most children can be safely anaesthetised even in the presence of an upper respiratory tract infection if the perioperative anaesthesia management is optimised. In this review article we have included a management algorithm for children with URTI presenting for elective surgery.
pediatric anesthesia, upper respiratory tract infections, respiratory adverse events, anesthesia management.