EVIDENCE-BASED PRACTICE GUIDANCE ON THE PERIOPERATIVE CARE OF ASTHMATIC SURGICAL PATIENT FOR A RESOURCE-CONSTRAINED AREA. A SYSTEMATIC REVIEW ARTICLE

Tajera Tageza Ilala^1*, Dugo Angasa Daba¹, Khalid Mohamed² 

1. Department of Anesthesia, College of Medicine and Health Science, Hawassa University, Hawassa, Ethiopia.

Corresponding Author: Tajera Tageza Ilala*, Department of Anesthesia, College of Medicine and Health Science, Hawassa University, Hawassa, Ethiopia, Email: tajeratageza@gmail.com

Citation: Tajera Tageza Ilala (2025).Evidence-based practice guidance on the perioperative care of asthmatic surgical patient for a resource-constrained area. Systematic review article. Eco Science Journal.2025 2(3).

Copyrights © 2025, Tajera Tageza Ilala. This article is licensed under the Creative Commons Attribution-NonCommercial-4.0-International-License-(CCBY-NC).

Abstract

Background: Bronchial Asthma is the prevalent co-existing disease among surgical patients requiring surgery. The significance of this guideline is to provide a proper preoperative evaluation, risk stratification, and optimization using a compilation of both pharmacological and non-pharmacological interventions, as well as intense intraoperative and postoperative adverse management. The present study is aimed to develop the evidence informed guidance on the perioperative care for asthmatic patients presenting for surgery.

Methods: The Reporting Items for Practice Guidelines in Health Care (RIGHT) protocols was used in reporting the review. An exhaustive search of the literatures was conducted by using the MeSH terms asthma OR bronchial asthma AND surgery OR elective surgery AND anesthesia OR general anesthesia OR regional anesthesia AND respiratory drugs OR bronchodilators, in the Cochrane Review, PubMed, and Google Scholar databases.

Result:  3,237 literatures were explored by from various databases by using the search strategies. 363 literatures were chosen following removal of duplicated literatures. 23 studies containing 253 articles were included; 6 Systematic reviews and meta-analysis, 5 observational studies, 8 RCTs, 2 non RCTs, and 2 reviewed articles quality were evaluated, and conclusion was drawn according to the levels of evidences and grade of recommendation.

Conclusion: Perioperative asthmatic management aimed at proper assessment, preoperative optimization with non-pharmacological measures like obtunding exposure to allergens and indoor pollution, environmental intervention like air purification, as well as healthy diet and exercise, which poses super outcomes when supported by pharmacological interventions. Before induction of anesthesia, low-dose IV ketamine, midazolam, lidocaine IV, or in combination with salbutamol can be safely used.