A 4-year-old girl presents on your ear, nose and throat (ENT) list at a small regional hospital for elective bilateral myringotomies and insertion of grommets.
She has a history of recurrent middle ear infections and has also been diagnosed with asthma and atopic dermatitis. She is allergic to peanuts.
On the preoperative-assessment questionnaire her mother has stated that the child currently has a runny nose and a cough.
The girl's medications are:
- fluticasone 100-200 mcg daily (via metered-dose inhaler plus spacer)
- salbutamol 200-400 mcg PRN (via metered-dose inhaler plus spacer)
Sections covered in this viva
Assessment of child with URTI and asthma for upper airway surgeryManagement of induction and subsequent laryngospasmManagement of subsequent bronchospasm