Bronchospasm Management: Overcoming the Challenges of Treating Patients With Severe Airway Constriction
A 41-year-old female with a BMI of 44.22 underwent a left thyroid lobectomy. After intubation, the patient experienced a bronchospasm, which was managed with deepening the anesthetic and albuterol. The surgery proceeded uneventfully with anesthesia maintained with sevoflurane and paralysis maintained with rocuronium. However, during emergence, the patient continued to bronchospasm. An anesthesiology team was able to manage her symptoms. The patient's respiratory status improved, and she was transferred to the recovery room. We discuss strategies in reducing the risk of bronchospasms during anesthesia, which requires a multifaceted approach that includes preoperative evaluation, agent selection, depth of anesthesia management, and vigilant monitoring.
Kim KM, Bolz E, Soto RG. Bronchospasm management: overcoming the challenges of treating patients with severe airway constrictions. Presented at: American Anesthesiologists Annual Meeting; 2023 Oct 16; San Francisco, CA.