• Respiratory disease in a surgical patient can represent a serious complication to the giving of anesthesia. Preoperative management must include correction of the underlying pulmonary pathology, where possible. For preanesthetic medication, the barbiturates are preferable to analgesics. While the anesthetic agent itself cannot be related to any adverse effects on preexisting pulmonary infections nor, alone, have influence on postoperative respiratory complications, it must still be admitted no presently available agent or technique is ideal. The selected procedure must therefore be considered in the light of its particular advantages (e. g., bronchodilating qualities, rapid postoperative response) over predicted disadvantages (e. g., anoxia, respiratory depression). Competent postoperative supervision, preventing interference with adequate respiration, completes the program of providing safe anesthesia for patients with respiratory disease.
Greene NM. ANESTHETIC MANAGEMENT OF PATIENTS WITH RESPIRATORY DISEASE. JAMA. 1956;162(14):1276–1281. doi:10.1001/jama.1956.02970310004002
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