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A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care

Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
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PEDIATRIC ANESTHESIA  SMART 2003 - Milan, may 28-30, 2003

Minerva Anestesiologica 2003 May;69(5):457-9

language: English

Upper respiratory tract infections and pediatric anesthesia

Serafini G., Cavalloro F., Mori A., Rossi C., Ta­gliaferri C.

Department of Anesthesia and Intensive Care, IRCCS Policlinico S. Matteo, University of Pavia, Pavia, Italy


Anesthesia for the child with an upper respiratory infection (URI) presents a challenge for the pediatric anesthesiologist. Differences in study design have made interpretation and comparison very difficult. The general lack of evidence-based research has led to disparities in the manner in which children which URI have been traditionally managed. Many studies have described associations between URIs and adverse events and we must decide whether to proceed or postpone the procedure and how long to postpone it. More recent research, however, suggests that children with uncomplicated infections can undergo elective procedures without significant increase in adverse anesthetic outcomes. This presentation summarizes the evolving literature about cancellation of surgery for the child with an upper respiratory infection, perioperative outcomes and anesthetic management.

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