This review summarizes the current evidence for the management of children with recent upper respiratory tract infections (URTIs). Furthermore, the review includes management guidelines for children with URTIs.
Good history and clinical examination is sufficient in most children presenting with URTI. Testing for immune markers or preoperative nitric oxide measurement does not add any additional value. Preoperative bronchodilator administration, intravenous induction with propofol, and noninvasive airway management all reduce the occurrence of respiratory adverse events.
Most children can be safely anaesthetized even in the presence of an URTIs if the perioperative anaesthesia management is optimized. In this review article, we have included a management algorithm for children with URTI presenting for elective surgery.
aDepartment of Intensive Care, Fiona Stanley Hospital, Murdoch
bSchool of Medicine and Pharmacology, The University of Western Australia
cSchool of Medicine, The University of Notre Dame, Perth, Western Australia, Australia
dDepartment of Anesthesia and Intensive Care, Klinik Hallerwiese, Cnopf'sche Kinderklinik, Nuernberg, Germany
eDepartment of Anesthesia and Pain Management, Princess Margaret Hospital for Children, Subiaco
fSchool of Medicine and Pharmacology, The University of Western Australia, Perth, Western Australia, Australia
Correspondence to Professor Britta S. von Ungern-Sternberg, Chair of Pediatric Anesthesia, Department of Anesthesia and Pain Management, Princess Margaret Hospital for Children, Roberts Road, Subiaco, WA 6008, Australia. Tel: +61 8 9340 8109; e-mail: Britta.firstname.lastname@example.org