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Asthma and anesthesia

Hi everyone,
I would like to know what experiences people with moderate to severe asthma have had with general anesthesia. I am particularly concerned because I do not wheeze. My pulmonologist still acts surprised when I say that I do not wheeze. I have read that in some cases patients can become bronchospastic during induction and intubation. If this happens but I am not wheezing, I am afraid that I will be ignored.

  1. Hello - I have not had an experience such as this, but wanted to acknowledge your concerning question. I will swing back tomw to see if others have jumped into the conversation.

    It's understandable to have concerns about undergoing general anesthesia, especially if you have moderate to severe asthma and don't wheeze. While wheezing is a common symptom of asthma, not everyone experiences it, and healthcare providers need to be aware of this variation in asthma symptoms, especially while under anesthesia.

    I have been under anesthesia multiple times and worry as well if the surgical team would notice my symptoms. I mention this to the medical team including the anesthesiologist, and it comforts me in knowing they understand my asthma and its severity. Also, being connected to the heart monitor and other machines gives me comfort. Have you had an adverse experience under anesthesia prior? I always get asked this question when I go over the preop phone call the day before surgery.

    If you're worried about potentially experiencing bronchospasm during induction and intubation, it's crucial to communicate your concerns with your healthcare team, including your pulmonologist and the anesthesiologist. They can take steps to minimize the risk of complications and ensure your safety during the procedure. Hoping others jump on and offer up their experiences with anesthesia. Thoughtfully, Rebecca (team member)

    1. Hi Rebecca
      My pulmonologist cleared me for the procedure, looking at my spirometry, assessment and current asthma control. He reassured me that the monitors would help determine if my lungs are tight. Yes, my asthma has been under good control recently. However, I feel like the care teams usually don’t listen, when I verbalize that I do not wheeze. They listen to my lungs and say “all is good you are not wheezing today” I guess I am just nervous that I will have a problem and will be ignored.

      1. Would it give you some peace of mind to have your doctor write a letter for you to share with the anesthesia team when you meet them? Something "official" can never hurt.

        In general, though, the anesthesiologist will be monitoring you for any signs of trouble during intubation (with or without wheezing), and should have everything needed to keep your lungs doing well throughout the procedure, especially given that your pulmonologist has given you the go-ahead.

        Ask all your questions and be persistent -- at least you know for sure that they'll be aware of your needs! Your health is the most important thing. Keep us posted! -Melissa, asthma team

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