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Patients with concurrent medical conditions such as Reactive airway disease presenting for anaesthesia, and surgery have potentially increased risk of perioperative morbidity and mortality if not well managed.To highlight the need for adequate perioperative care and review the evidence for selection of techniques in the anesthesia for such cases"An illustrative case is presented.The main goal of the anaesthetist is to administer safe and sufficient anaestheia without precipitating bronchospasm.

Reactive airway and anaesthesia: challenge to the anaesthetist and the way forward.