Perioperative modifications of respiratory function.
Duggan, Michelle Kavanagh, Brian P
Duggan, Michelle
Kavanagh, Brian P
Advisors
Editors
Other Contributors
Date
2012-01-31T15:55:32Z
Date Submitted
Keywords
Other Subjects
Subject 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
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
Planned Date
Start Date
Collaborators
Principal Investigators
Alternative Titles
Publisher
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
ISSN
1521-6896 (Print)
1521-6896 (Linking)
1521-6896 (Linking)
eISSN
ISBN
DOI
PMID
20608553