Bronchodilators & Steroids
  • The patient with Reactive Airway Disease, either asthma or with COPD, should have maximal bronchodilation. This includes inhaled bronchodilators, and occasionally a burst and taper of steroids.
  • Of note: short course steroids preoperatively did not affect postoperative healing, but did improve postoperative pulmonary function in properly selected patients.
  • Monitoring the effectiveness of preoperative treatment with peak flow will maximize effectiveness.