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Update in Anaesthesia

Management of bronchospasm during general Anaesthesia Alex LooseleyCorrespondence email: during general Anaesthesia can present in isolation or as a component of a more serious underlying pathology such as anaphylaxis. It is characterised by prolonged expiration, wheeze and increased peak airway pressures during Intermittent Positive Pressure Ventilation (IPPV). Untreated it can cause hypoxia, hypotension and increased morbidity and mortality. Suspected bronchospasm during Anaesthesia should be assessed and treated promptly.

Update in Anaesthesia | www.anaesthesiologists.org page 19 Management of patient with suspected bronchospasm during general anaesthesia Follow up. If a serious allergic/anaphylactic reaction was suspected or identified the anaesthetist must ensure the patient is referred to a specialist allergy/immunology centre for further investigation.

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