Preoperative Evaluation

Lakshminarasimhachar, Anand; Smetana, Gerald W.

doi:10.1016/j.anclin.2015.10.007

Cited by 34 publications

(7 citation statements)

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“…Atelectasis and pneumonia are generally the most commonly developing pulmonary complications following major abdominal surgery [ 6 , 14 ]. Many studies have investigated the pulmonary complications of open and laparoscopic cholecystectomy, particularly after laparoscopic cholecystectomy became widespread in the early 1990s.…”

Section: Discussionmentioning

confidence: 99%

Effects of Laparoscopic and Conventional Methods on Lung Functions in Colorectal Surgery

Çelik

Yılmaz

2018

Med Sci Monit

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BackgroundWe aimed to compare the lung functions, complication rates, and durations of the hospital and intensive care unit stays of patients who had undergone laparoscopic colorectal resection and open colorectal resection.Material/MethodsIn this study, data were collected prospectively and then evaluated retrospectively. The study was carried out between January 2015 and November 2016 in 2 university hospitals. Pulmonary function tests (PFT) and chest radiography were performed in all patients preoperatively. In the postoperative period, PFT was performed in all patients but chest radiography was obtained only in patients for whom it was clinically indicated.ResultsThere were no significant differences between the 2 groups regarding their preoperative PFT parameters (p>0.05 for all variables). When compared to their preoperative PFT results, FEV1 and FVC values were determined to be significantly reduced on the 5th postoperative day (p≤0.05) in both groups. When the postoperative 5th day PFT results of the Laparoscopy (LG) and Open group (OG) were compared, there were no significant differences (for all variables p>0.05). Consolidation developed in 11 patients, all of whom were in the OG, but this result was not associated with surgical procedure (p=0.080). The median duration of the postoperative intensive care stay was 1 day in the LG, whereas it was 2 days in the OG (p<0.001).ConclusionsIn terms of pulmonary functions, both laparoscopic surgery and open surgery procedure have the same results. However, in terms of hospital stay and pulmonary infections, laparoscopy is more reliable.

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Section: Discussionmentioning

confidence: 99%

Effects of Laparoscopic and Conventional Methods on Lung Functions in Colorectal Surgery

Çelik

Yılmaz

2018

Med Sci Monit

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“…Two weeks before surgery, patients were examined by head, chest and upper abdomen-enhanced CT, pulmonary function tests, blood tests, blood biochemical tests, and electrocardiogram as preoperative evaluations. 20 On the day before surgery, patients and their families were informed in detail of surgical expectations and the risk of complications. Informed consent was signed in the surgeon’s office.…”

Section: Methodsmentioning

confidence: 99%

Video-Assisted Thoracoscopic Day Surgery for Patients with Pulmonary Nodules: A Single-Center Clinical Experience of 200 Cases

Dong

Chang

et al. 2021

CMAR

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Background We reviewed our experience with 200 patients who underwent video-assisted thoracoscopic day surgery (VATDS) at the Day Surgery Center at West China Hospital to identify the safety and feasibility of VATDS and assess the value of novel management in patients with pulmonary nodules. Methods Between June 2019 and December 2020, 200 patients with pulmonary nodules underwent VATDS at the Day Surgery Center at West China Hospital. The medical records of these 200 patients were reviewed for age, sex, preoperative history, operative and pathological findings, amount of daily chest tube drainage, procedure method and duration, length of stay (LOS), visual analog scale (VAS), and postoperative pulmonary complications (PPCs). Results There were 45 male and 155 female patients with a median age of 43 years (range 18 to 58 years). A total of 158 (79.00%) patients were diagnosed with lung adenocarcinoma, 35 (17.50%) were diagnosed with chronic inflammation with fibrous hyperplasia, and seven (3.50%) were diagnosed with granulomatous inflammation with necrosis. The mean LOS of the 200 patients was 1.25±0.95 days, and 187 (93.50%) patients were discharged within 24 hours as planned. Thirteen patients were transferred to the thoracic surgery ward for further treatment because of PPCs. The median VAS was 3 points (range 1 to 7 points), and the rate of PPCs was 11.50%. Conclusion Two hundred patients underwent VATDS with an acceptable 24-hour discharge rate. However, selection of patients for VATDS is required, and the implementation of VATDS on a larger scale requires further discussion.

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“…It must also be noted that the ACS NSQIP currently has poor predictive ability patients undergoing ophthalmologic surgery are of an advanced age, particularly those receiving cataract surgery. Correspondingly, there does not appear to be a stage of either COPD, heart failure or pulmonary hypertension that precludes a patient from undergoing surgical intervention, though it remains generally accepted that patient's should be at their baseline status with optimal control before proceeding with elective surgery [15]. Along these lines, the presence of an upper respiratory infection has also been associated with a small increase in the risk of PPCs, and deferring elective procedures until this is resolved is a reasonable consideration.…”

Section: Cardiac Risk Evaluationmentioning

confidence: 99%

“…Data evaluating the effect of neuraxial versus general anesthesia on the risk of PPCs have been conflicting, though it is more frequently believed that serious PPCs are reduced when using neuraxial/regional approach [15]. With regard to ophthalmologic surgery, most procedures are done under regional anesthesia, and the PPC risk is generally considered to be low.…”

Section: Pulmonary Risk Evaluationmentioning

confidence: 99%

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Preoperative Evaluation of the Ophthalmology Patient

Vestal¹

2018

J Perioper Med

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Ophthalmologic surgeries, particularly cataract surgeries, are amongst the most frequently performed procedures in the United States and worldwide. These procedures are generally associated with a low risk of major adverse complications and are well-tolerated. Traditional scoring systems used to calculate the risk of perioperative complications are not applicable to ophthalmologic surgeries and may overestimate risk, potentially leading to unnecessary development of worsened vision or vision loss. Conversely, while these surgeries are generally associated with a low risk, outcomes are improved when comorbid conditions are identified, communicated to the ophthalmologist, and effectively managed. Additionally, routine preoperative testing is frequently ordered, but rarely indicated. A reduction in unnecessary preoperative testing has substantial potential to reduce the economic impact on healthcare costs in this patient population.

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Preoperative Evaluation

Cited by 34 publications

References 50 publications

Effects of Laparoscopic and Conventional Methods on Lung Functions in Colorectal Surgery

Effects of Laparoscopic and Conventional Methods on Lung Functions in Colorectal Surgery

Video-Assisted Thoracoscopic Day Surgery for Patients with Pulmonary Nodules: A Single-Center Clinical Experience of 200 Cases

Preoperative Evaluation of the Ophthalmology Patient

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