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KMID : 0374919960170040541
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Inje Medical Journal
1996 Volume.17 No. 4 p.541 ~ p.0
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Bronchospasm During General Anesthesia
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Young ju Park
Chan Woo Song/M.D./M.D. and Kee Hyok Hong/M.D.
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Abstract
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Bronchospasm under general anesthesia is common in patients with a history of asthma or COPD. But bronchospasm that occurs intraoperatively is usually due to factors other than an acute asthmatic attack. Obstruction of the endotracheal tube from kinking, secretions, or an overinflated balloon ; endobronchial intubation; active expiratory effects(straining ) because of light anesthesia; pulmonary edema or embolism ; and pneumothorax can all simulate bronchospasm. Bronchospasm is treated by deepening the level of anesthesia, adding a volatile agent with bronchodilatory properties, administering aerosols(β2-agonists), anticholinergics, corticosteroid, or infusing aminophylline. We experienced a cases of bronchospsasm during general anesthesia in patients without asthma, so we report it with a brief review of the literature.
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