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If elective surgery, postpone 4-6weeks if patient has symptoms of severe disease (chest signs, febrile, or looks unwell.) refl.in/7g

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If no signs of severe disease (chest signs, febrile, or looks unwell), and not having general anaesthetic, proceed. refl.in/7g

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If the procedure will require a GA, and no signs of severe systemic disease are present, weigh the risks of the case (elevated by a history of asthma, case requiring an ETT, copious respiratory secretions, nasal congestion, airway surgery, or history of prematurity) vs the benefits of surgery. refl.in/7g

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Mar 16, 2012
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In children with intercurrent illness, weigh perioperative risk against likelihood of finding suitable disease free period refl.in/4c

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May 18, 2011
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If urgent surgery is necessary, proceed with the awareness of elevated risk of laryngospasm and bronchospasm, and have precautions (equipment, drugs, staff) prepared. refl.in/7g

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Mar 16, 2012
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Elevated risk of perioperative respiratory complications. Laryngo/bronchospasm, mucous plugging, post- extubation croup refl.in/4c

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May 18, 2011
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If proceeding with GA in otherwise well child with URTI, consider LMA rather than ETT to minimise tracheal stimulation which may precipitate bronchospasm or laryngospasm. refl.in/7g

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