Introduction
death, COPD, airflow obstruction, disability, bronchospasm
POSTOPERATIVE COMPLICATIONS, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, COPD, BRONCHOSPASM, CHRONIC DISEASE
Chronic obstructive pulmonary disease (COPD) is a common chronic disease, third leading cause of death and increasingly important cause of morbidity and disability in the world. It is characterized by poorly reversible and progressive airflow obstruction (Patients with COPD pose a challenge to the anesthesiologists because intraoperative and postoperative complications occur more commonly in these patients, which can lead to prolonged hospital stay and increased mortality (Inhaled bronchodilators such as albuterol, a short acting β agonist, are widely prescribed for the symptomatic relief in patients with COPD. Beta-2 adrenergic receptor agonists (β2-agonists) can result in bronchodilatation by stimulating the β2-adrenoceptor present on airway smooth muscle and other cells in the airway (Previously, it has been shown that using prophylactic salbutamol spray before surgery, reduces the incidence of bronchospasm and coughing in heavy smoking patients under general anesthesia (