2004 v2 colds handout

2004 v2 colds handout - Preoperative Issues in Children:...

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Preoperative Issues in Children: Preoperative Issues in Children: Colds Colds Amr  E. Abouleish, MD, MBA Amr  E. Abouleish, MD, MBA Pediatric Anesthesia Pediatric Anesthesia The University of Texas Medical Branch The University of Texas Medical Branch Galveston, Texas Galveston, Texas
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Preoperative Evaluation Risks and Management of Child with a Cold Evaluation and Preparation of Pediatric  Evaluation and Preparation of Pediatric  Patients undergoing Anesthesia Patients undergoing Anesthesia Section on Anesthesiology Section on Anesthesiology American Academy of Pediatrics American Academy of Pediatrics Pediatrics 98:502:508, 1996 Pediatrics 98:502:508, 1996
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Disclaimer With Lower Respiratory Tract Problems Abnormal chest auscultation Productive cough CXR findings Systemic Infections Lethargy Generalized malaise Temperature > 38 degrees
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URI’s are common in Children < 5 years of age 1 out 4 have an acute URI or recent URI 1 out 3 in day care if Otitis Media included, increase by 5- 10% 5-6 URI’s in a year Once every 7 - 10 weeks Pediatrics 79:55, 1987 JAMA 227:164, 1974
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No Symptom = No Problem? Uncomplicated URI’s fever headache malaise rhinorrhea unproductive cough otherwise healthy adults Airway hyperreactivity present up to 6 weeks 0 2 4 6 8 10 12 0 1 3 4 5 6 Bronchial Reactivity to  Bronchial Reactivity to  Histamine Histamine N=12 Weeks after  URI Am Rev Respir Dis 113:131, 1976 Am Rev Respir Dis 122:3-10, 1980
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Does an URI increase anesthetic risks? If so, what problems may occur?
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This note was uploaded on 12/28/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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2004 v2 colds handout - Preoperative Issues in Children:...

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