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Perioperative respiratory management of pediatric patients with neuromuscular disease
Author(s) -
Blatter Joshua A.,
Finder Jonathan D.
Publication year - 2013
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/pan.12214
Subject(s) - medicine , perioperative , intensive care medicine , hypoventilation , airway , airway obstruction , airway management , neuromuscular disease , anesthesia , respiratory physiology , disease , respiratory system
Summary Patients with neuromuscular disorders undergoing general anesthesia present a special set of respiratory problems for perioperative management. While there are disease‐specific concerns, there are many common themes in the respiratory management of patients with neuromuscular disorders. These problems are discussed in this review. Such common perioperative concerns include upper airway obstruction, chest wall restriction, postoperative hypoventilation, inadequate airway clearance, and chronic lower airway disease. Each of these challenges has an effective management approach, and careful planning can help avoid perioperative respiratory complications.