Conclusion
Preoperative airway evaluation and intervention are the first step in
perioperative airway management. In this study, we optimized some airway
management measures, and further established a standardized preoperative
airway management process for use in children with OSA, which showed it
could rapidly improve abnormal lung function. In addition,
patients with a history of chronic
cough and asthma were more likely to have decreased lung function and
could be further assessed/treated due to the potential increased risk
for anesthesia. These results also suggest that for children who cannot
complete lung function tests, if they have risk factors for lung
dysfunction or symptoms of abnormal respiratory tract, we can give them
preoperative atomization inhalation intervention to avoid possible
perioperative airway adverse events. The disadvantage of this study was
that there was no historical control group because previous children
with OSA were not systematically examined for lung function before we
established preoperative airway management procedures. However, the case
series study can act as a pilot for future studies to provide a
reference for preoperative standardized airway management.