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Intraoperative bronchospasm challenges anesthesia's safety. This study aims to investigate high concentration of exhaled nitric oxide as a marker of intraoperative bronchospasm.
Previous studies in asthmatic patients suggested that exhaled nitric oxide may represent a noninvasive measure for airway inflammation. Anesthesia information forms from 1999 throughout 2004 were revised (n=146.358). Bronchospasm occurrence appeared registered on 863 forms. From those, nine were identified as non-asthmatics patients (Bronchospasm group). Also, 12 asthmatics constituted one additional group (Asthma group) and 10 subjects with no previous airway disease or symptoms (Control group). All subjects were submitted to Exhaled nitric oxide measurements (parts/billion), spirometry and induced sputum.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Bronchospasm | Patients who presented bronchospasm during anesthesia induction | ||
| Asthma | Patients who presented bronchospasm during anesthesia induction and were identified as asthmatics | ||
| Control | Patients who were submitted to anesthesia induction and showed no complications |
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| Measure | Description | Time Frame |
|---|---|---|
| Exhaled nitric oxide in parts per billion | one to six months after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Eosinophils concentration within sputum sample, pulmonary function tests | one to six months after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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Hospital, late post-anesthesia cared patients
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| Name | Affiliation | Role |
|---|---|---|
| Joaquim E Vieira, MD, PhD | University of Sao Paulo Medical School - FMUSP | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital das Clínicas da FMUSP | São Paulo | São Paulo | 05430 010 | Brazil |
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| ID | Term |
|---|---|
| D001249 | Asthma |
| D012130 | Respiratory Hypersensitivity |
| D001986 | Bronchial Spasm |
| ID | Term |
|---|---|
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
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Sputum
| D006969 |
| Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |