Perioperative modifications of respiratory function.

Hdl Handle:
http://hdl.handle.net/10147/203234
Title:
Perioperative modifications of respiratory function.
Authors:
Duggan, Michelle; Kavanagh, Brian P
Affiliation:
Department of Anesthesia, Mayo General Hospital, Castlebar, Co. Mayo, Ireland., Michelle.Duggan@hse.ie
Citation:
Best Pract Res Clin Anaesthesiol. 2010 Jun;24(2):145-55.
Journal:
Best practice & research. Clinical anaesthesiology
Issue Date:
31-Jan-2012
URI:
http://hdl.handle.net/10147/203234
PubMed ID:
20608553
Abstract:
Postoperative pulmonary complications contribute considerably to morbidity and mortality, especially after major thoracic or abdominal surgery. Clinically relevant pulmonary complications include the exacerbation of underlying chronic lung disease, bronchospasm, atelectasis, pneumonia and respiratory failure with prolonged mechanical ventilation. Risk factors for postoperative pulmonary complications include patient-related risk factors (e.g., chronic obstructive pulmonary disease (COPD), tobacco smoking and increasing age) as well as procedure-related risk factors (e.g., site of surgery, duration of surgery and general vs. regional anaesthesia). Careful history taking and a thorough physical examination may be the most sensitive ways to identify at-risk patients. Pulmonary function tests are not suitable as a general screen to assess risk of postoperative pulmonary complications. Strategies to reduce the risk of postoperative pulmonary complications include smoking cessation, inspiratory muscle training, optimising nutritional status and intra-operative strategies. Postoperative care should include lung expansion manoeuvres and adequate pain control.
Language:
eng
MeSH:
Humans; Lung/metabolism; Perioperative Care/*methods; Postoperative Care/methods; Postoperative Complications/etiology/*prevention & control; Respiratory Function Tests; Respiratory Insufficiency/etiology/*prevention & control; Risk Factors; Smoking Cessation/methods
ISSN:
1521-6896 (Print); 1521-6896 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorDuggan, Michelleen_GB
dc.contributor.authorKavanagh, Brian Pen_GB
dc.date.accessioned2012-01-31T15:55:32Z-
dc.date.available2012-01-31T15:55:32Z-
dc.date.issued2012-01-31T15:55:32Z-
dc.identifier.citationBest Pract Res Clin Anaesthesiol. 2010 Jun;24(2):145-55.en_GB
dc.identifier.issn1521-6896 (Print)en_GB
dc.identifier.issn1521-6896 (Linking)en_GB
dc.identifier.pmid20608553en_GB
dc.identifier.urihttp://hdl.handle.net/10147/203234-
dc.description.abstractPostoperative pulmonary complications contribute considerably to morbidity and mortality, especially after major thoracic or abdominal surgery. Clinically relevant pulmonary complications include the exacerbation of underlying chronic lung disease, bronchospasm, atelectasis, pneumonia and respiratory failure with prolonged mechanical ventilation. Risk factors for postoperative pulmonary complications include patient-related risk factors (e.g., chronic obstructive pulmonary disease (COPD), tobacco smoking and increasing age) as well as procedure-related risk factors (e.g., site of surgery, duration of surgery and general vs. regional anaesthesia). Careful history taking and a thorough physical examination may be the most sensitive ways to identify at-risk patients. Pulmonary function tests are not suitable as a general screen to assess risk of postoperative pulmonary complications. Strategies to reduce the risk of postoperative pulmonary complications include smoking cessation, inspiratory muscle training, optimising nutritional status and intra-operative strategies. Postoperative care should include lung expansion manoeuvres and adequate pain control.en_GB
dc.language.isoengen_GB
dc.subject.meshHumansen_GB
dc.subject.meshLung/metabolismen_GB
dc.subject.meshPerioperative Care/*methodsen_GB
dc.subject.meshPostoperative Care/methodsen_GB
dc.subject.meshPostoperative Complications/etiology/*prevention & controlen_GB
dc.subject.meshRespiratory Function Testsen_GB
dc.subject.meshRespiratory Insufficiency/etiology/*prevention & controlen_GB
dc.subject.meshRisk Factorsen_GB
dc.subject.meshSmoking Cessation/methodsen_GB
dc.titlePerioperative modifications of respiratory function.en_GB
dc.contributor.departmentDepartment of Anesthesia, Mayo General Hospital, Castlebar, Co. Mayo, Ireland., Michelle.Duggan@hse.ieen_GB
dc.identifier.journalBest practice & research. Clinical anaesthesiologyen_GB
dc.description.provinceConnacht-

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