Several special problems in the treatment of bronchial asthma

Special considerations are needed in the management of bronchial asthma, including expectancy, surgery, exercise, rhinitis, sinusitis, nasal polyps, occupational asthma, respiratory tract infections, gastroesophageal reflux, aspirin-induced asthma, and psychosocial factors. A retrospective study showed that about 1/3 of asthmatic women had worsening, decreasing or no change in their asthma during pregnancy. On the contrary, if asthma is not effectively treated during pregnancy, it is not possible to treat the fetus. On the contrary, if asthma is not effectively controlled during pregnancy, there is an increase in perinatal mortality and an increase in the birth rate of preterm and low birth weight newborns, therefore, it is essential that asthma is ideally controlled through pharmacological treatment during pregnancy. The treatment of asthma should focus on symptom control and maintenance of lung function. In acute attacks, oxygen, β2 agonist nebulizer inhalation and hormone therapy should be applied when necessary. Bronchial hyperresponsiveness, airflow obstruction and excessive mucus secretion in asthmatic patients predispose them to intraoperative and postoperative respiratory complications. The incidence of these complications is closely related to the severity of asthma at the time of surgery, the type of surgery, and the type of anesthesia, with the highest incidence in general anesthesia under tracheal intubation, thoracic and upper abdominal surgery. Preoperative pulmonary function testing and assessment is very important if EF1.