O paciente com infecção de vias aéreas superiores. Quando anestesiar?

Eliana Marisa Ganem; Norma Sueli Pinheiro Módolo; Yara Marcondes Machado Castiglia

doi:10.1590/S0034-70942003000300012

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O paciente com infecção de vias aéreas superiores. Quando anestesiar?

Patient with upper airway infectious disease. When to induce anesthesia?

Eliana Marisa Ganem; Norma Sueli Pinheiro Módolo; Yara Marcondes Machado Castiglia

http://dx.doi.org/10.1590/S0034-70942003000300012 Braz J Anesthesiol, vol.53, n3, p.396-400, 2003

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Resumo

JUSTIFICATIVA E OBJETIVOS: Anestesiar, com segurança, a criança com infecção de vias aéreas superiores (IVAS) constitui um dos grandes desafios do anestesiologista. A finalidade deste artigo é discutir a validade de anestesiar e quando anestesiar a criança com IVAS. CONTEÚDO: Estão ressaltados a importância da história clínica na investigação pré-operatória, os fatores que contribuem para o aparecimento de complicações no per e no pós-operatório, assim como o tipo de cirurgia e a técnica anestésica que favorecem estas complicações. CONCLUSÕES: O conhecimento das alterações no trato respiratório que acontecem após IVAS, da importância da avaliação correta da gravidade dos sintomas, dos fatores que podem contribuir para o aparecimento de complicações e da melhor técnica anestésica possibilita a seleção de pacientes com menor risco de desenvolver complicações no período per-operatório.

Palavras-chave

ANESTESIA, DOENÇAS

Abstract

BACKGROUND AND OBJECTVES: Anesthesia in children with upper airway infection (UAI) is a major challenge for Anesthesiologists. This paper aimed at discussing why and when to induce anesthesia in UAI children. CONTENTS: Preoperative clinical history, factors contributing to peri and postoperative complications and the type of surgery and anesthetic technique favoring such complications are highlighted. CONCLUSIONS: The understanding of post-UAI respiratory tract changes, of the importance of accurately evaluating the severity of symptoms, of factors contributing to complications and of the best anesthetic technique will allow for the choice of patients at the lowest risk to develop perioperative complications.

Keywords

ANESTHESIA, DISEASES

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O paciente com infecção de vias aéreas superiores. Quando anestesiar?

Patient with upper airway infectious disease. When to induce anesthesia?

Eliana Marisa Ganem; Norma Sueli Pinheiro Módolo; Yara Marcondes Machado Castiglia

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