Can you develop asthma after surgery

What are some common post-op discomforts?

The amount of discomfort you have after surgery depends on many things, including the type of surgery. Typical discomforts may include:

  • Nausea and vomiting from general anesthesia

  • Sore throat caused by the tube placed in the windpipe for breathing during surgery

  • Soreness, pain, and swelling around the incision site or minor pain around IV sites

  • Restlessness and sleeplessness

  • Thirst

  • Constipation and gas

What complications may occur after surgery?

Complications can sometimes occur after surgery. The most common complications include:

Shock

Shock is a severe drop in blood pressure that causes a dangerous slowing of blood flow throughout the body. Shock may be caused by blood loss, infection, spine injury, or metabolic problems. Treatment may include any or all of the following:

  • Stopping any blood loss

  • Helping with breathing. This might be with a breathing machine.

  • Reducing heat loss

  • Giving IV fluids or blood

  • Giving extra oxygen

  • Prescribing medicines to help raise blood pressure.

Bleeding

Rapid blood loss from the site of surgery, for example, can lead to shock. Treatment of rapid blood loss may include:

  • IV fluids or blood plasma

  • Blood transfusion

  • More surgery to control the bleeding

Wound infection

When bacteria enter the site of surgery, an infection can happen. Infections can delay healing. Wound infections can spread to nearby organs or tissue, or to distant areas through the bloodstream. Treatment of wound infections may include:

  • Antibiotics

  • Surgery or procedure to clean or drain the infected area

Deep vein thrombosis

A deep vein thrombosis is a blood clot in a large vein deep inside a leg, arm, or other part of the body. Symptoms are pain, swelling, tenderness, and skin redness in a leg, arm, or other area. If you have these symptoms, call your healthcare provider. In some cases, the clot can break off and travel to the lungs or brain. This can cause a pulmonary embolism or a stroke. Compression stockings are often used for treatment. They can also prevent DVTs.

Pulmonary embolism

The clot can break away from the vein and travel to the lungs. This clot is called a pulmonary embolism. In the lungs, the clot can cut off the flow of blood. This is a medical emergency and may cause death. If you have the following symptoms, call 911 or get emergency help right away. Symptoms are chest pain, trouble breathing, coughing (may cough up blood), sweating, very low blood pressure, fast heartbeat, light headedness, and fainting. Treatment depends on the location and size of the blood clot. It may include:

  • Blood-thinner medicines (anticoagulants) to prevent more clots

  • Thrombolytic medicines to dissolve clots

  • Surgery or other procedures to remove the clot

Lung problems

Sometimes lung problems happen because you don’t do deep breathing and coughing exercises within 48 hours of surgery. They may also happen from pneumonia or from inhaling food, water, or blood into the airways. Symptoms may include wheezing, chest pain, shortness of breath, fever, and cough. Getting up and walking around, deep breathing, and coughing often can help reduce the chances for these problems. Treatment depends on the lung problem and the cause.

Urinary retention

This means you aren’t able to empty your bladder. This may be caused by the anesthesia or certain surgeries. It is often treated by using a thin tube (catheter) to drain the bladder. This is kept in place until you have regained bladder control. Sometimes medicines to stimulate the bladder may be given.

Reaction to anesthesia

This is rare, but it does happen. Symptoms can range from mild to severe. Treatment of allergic reactions includes stopping specific medicines that may be causing the reaction. You may also be given other medicines to treat the allergy. Tell your healthcare team about any allergies you have before the surgery to minimize this risk. If an allergic reaction does occur, ask what caused the allergy so you can stay away from it for any future surgery.

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Can you develop asthma after surgery

Can you develop asthma after surgery

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Highlights

Asthma is one of the commonest respiratory illnesses among patients undergoing surgery.

This systematic review was conducted according to PRISMA protocol.

Propofol, ketamine, halothane, isoflurane and sevoflurane are best pharmacologic agents for asthmatic surgical patients.

Vecuronium is safe for use in asthmatic surgical patients.

Abstract

Asthma is one of the commonest respiratory illnesses among elderly patients undergoing surgery. Detailed preoperative assessment, pharmacotherapy and safe anaesthetic measures throughout perioperative period are the keys to decrease complications. Resistance to expiratory airflow results in positive alveolar pressures at the end of expiration, which causes air-trapping and hyperinflation of the lungs and thorax, increased work of breathing, and alteration of respiratory muscle function. This systematic review was conducted according to the Preferred Reporting Items for systematic review and metanalysis (PRISMA) statement. Search engines like PubMed through HINARI, Cochrane database and Google Scholars were used to find evidences. Low-dose IV ketamine, midazolam, IV lidocaine or combined with salbutamol are recommended to be used as premedication before induction. Propofol, ketamine, halothane, isoflurane and sevoflurane are best induction agents and maintenance for asthmatic surgical patients respectively. Among the muscle relaxants, vecuronium is safe for use in asthmatics. In addition, Succinylcholine and pancronium which releases low levels of histamine has been used safely in asthmatics with little morbidity.

Keywords

General anesthesia

Perioperative respiratory adverse events

Endotracheal intubation

Bronchospasm

Laryngospasm

Cited by (0)

© 2021 The Author(s). Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.

Can surgery give you asthma?

Bronchospasm can be triggered by intubation during surgery, allergies to latex-based medical equipment, and hypersensitivity to anesthetics. Low blood oxygen levels can be life threatening in severe cases.

Why have I suddenly developed asthma?

In most cases, adult-onset asthma is caused by some type of allergen, such as mold, dust mites or even your pets. As many as 30% of all adult-onset asthma cases are associated with allergies. Other cases of asthma in adults are triggered by irritants within your home or work environment.

What are 3 possible causes or triggers for asthma?

Physical exercise; some medicines; bad weather, such as thunderstorms or high humidity; breathing in cold, dry air; and some foods, food additives, and fragrances can also trigger an asthma attack.

Can local anesthesia trigger asthma?

The critical moments of dental treatment in which an asthma attack can be triggered are immediately after local anesthetic injection and those maneuvers that cause stress – such as extractions, surgery, or dental pulp removal in endodontic procedures [3].