Prevention of Postoperative Pulmonary Problems Starts Intraoperatively

Poelaert, Jan; Szegedi, László; Blot, Stijn

doi:10.1007/978-3-642-35109-9_43

Cited by 3 publications

(4 citation statements)

References 66 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In one study, in patients with normal lungs, 90% were developed atelectasis in the most dependent segments after intubation. [ 8 18 ] The atelectasis can exceed 15–20%. The degree of atelectasis can be even more in obese patients.…”

Section: Post-operative Hypoxaemiamentioning

confidence: 99%

“…Chronic alcohol abuse is associated with decreased surfactant production. [ 19 ] Atelectasis impedes surfactant function making the lung prone to collapse even after reopening.…”

Section: Post-operative Hypoxaemiamentioning

confidence: 99%

“…When the PaO 2 /FiO 2 ratio is <300 mm Hg, it is ALI and when it is <200 mm Hg, it is ARDS (American European Consensus Conference). [ 19 ]…”

Section: Acute Lung Injurymentioning

confidence: 99%

“… Low tidal volumes of 6–8 ml/kg PEEP 5–8 cm of H 2 O Use of lowest FiO 2 providing satisfactory peripheral saturation (SaO 2 > 90%) to prevent oxidative damage and prevent absorption atelectasis. [ 19 ] …”

Section: Mechanical Ventilation and Acute Lung Injurymentioning

confidence: 99%

See 3 more Smart Citations

Post-operative pulmonary complications after non-cardiothoracic surgery

Kelkar

2015

Indian J Anaesth

View full text Add to dashboard Cite

Post-operative pulmonary complications (PPCs) occur in 5–10% of patients undergoing non-thoracic surgery and in 22% of high risk patients. PPCs are broadly defined as conditions affecting the respiratory tract that can adversely influence clinical course of the patient after surgery. Prior risk stratification, risk reduction strategies, performing short duration and/or minimally invasive surgery and use of anaesthetic technique of combined regional with general anaesthesia can reduce the incidence of PPCs. Atelectasis is the main cause of PPCs. Atelectasis can be prevented or treated by adequate analgesia, incentive spirometry (IS), deep breathing exercises, continuous positive airway pressure, mobilisation of secretions and early ambulation. Pre-operative treatment of IS is more effective. The main reason for post-operative pneumonia is aspiration along the channels formed by longitudinal folds in the high volume, low pressure polyvinyl chloride cuffs of the endotracheal tubes. Use of tapered cuff, polyurethane cuffs and selective rather than the routine use of nasogastric tube can decrease chances of aspiration. Acute lung injury is the most serious PPC which may prove fatal.

show abstract

Section: Post-operative Hypoxaemiamentioning

confidence: 99%

“…Chronic alcohol abuse is associated with decreased surfactant production. [ 19 ] Atelectasis impedes surfactant function making the lung prone to collapse even after reopening.…”

Section: Post-operative Hypoxaemiamentioning

confidence: 99%

“…When the PaO 2 /FiO 2 ratio is <300 mm Hg, it is ALI and when it is <200 mm Hg, it is ARDS (American European Consensus Conference). [ 19 ]…”

Section: Acute Lung Injurymentioning

confidence: 99%