Revue médicale suisse
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Surgery and anaesthesia of the respiratory ill children were in the past systematically postponed till complete disappearance of symptoms. We'll pay more attention about this. According to latest data children with upper respiratory tract infections are at increased risk for postoperative complications till 6 weeks after the disease. ⋯ Any well defined consensus doesn't exist. The anaesthetic management of any children with upper respiratory tract infection is a real challenge and must be made on a case by case. We'll try to review some evidence-based guidelines for decision making in daily practise.
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Several meta-analysis support the prescription of aspirin for primary prevention of cardiovascular events in patients at risk. Though diabetics are particularly prone to these complications, a review of the literature shows that they have fewer benefits from the protective effects of such treatment. In these patients, controlling dyslipidemia, blood pressure and glycemia remains the main aim. Prescription of aspirin, in combination with an already existing medication, should not be solely based on the presence of diabetes, but on the overall risk profile of the patient, as well as his motivation.