Summary of Consensus Report on Preoperative Evaluation

Özkan, Metin; Kırkıl, Gamze; Dilektaşlı, Aslı Görek; Söğüt, Ayhan; Sertoğullarından, Bünyamin; Çetınkaya, Erdoğan; Çoşkun, Funda; Ulubay, Gaye; Yüksel, Hasan; Sezer, Murat; Özbudak, Ömer; Ulaşlı, Sevinç Sarınç; Arslan, Sülhattin; Kovan, Tezay

doi:10.5152/ttd.2014.4505

Cited by 6 publications

(8 citation statements)

References 69 publications

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“…Therefore, breathing exercises are of great importance in the prevention of atelectasis (Karadakovan & Aslan, 2011;Rudra & Sudipta, 2006). When patients are assessed in terms of atelectasis, there are some primary risk factors which include Chronic obstructive pulmonary disease (COPD), smoking, obesity, and advanced age (Çağlı et al, 2003;Karadakovan & Aslan, 2011;Özkan et al, 2015;Rudra & Sudipta, 2006;Turkish Thoracic Society, 2014). Generally, the risk of complication development is higher in patients aged over 65 (Özkan et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Breathing Exercises on Preventing Postoperative Atelectasis: A Randomized Controlled Trial

Devecel¹,

Şenturan²

2018

FNJN

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Aim: This study aims to assess the effect of pre-operative breathing exercises provided to patients undergoing open-heart operation on atelectasis development during the post-operative period. Method: This randomized controlled study was conducted with 48 patients hospitalized for open-heart surgery. Training was provided to the patients in the experimental group in the form of breathing exercises and spirometry and the instructed exercises were performed by the patients for 7 days before the operation. The patients in both groups were assessed in terms of atelectasis during post-operative days. Results: The proportion of atelectasis development on the post-op 0th day was 71% in the experimental group and 92% in the control group. In terms of average peripheral oxygen saturation, the patients in the experimental group had higher oxygen saturation than the patients in the control group (p<0.05). Conclusion: Though not at significant levels, this study found that, performing breathing exercises before the operation decreased atelectasis development, duration of extubation, length of time in intensive care and hospital discharge; thus, pre-operative breathing exercises were found to have a positive effect on patients during the post-operative period.

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Section: Introductionmentioning

confidence: 99%

The Effect of Breathing Exercises on Preventing Postoperative Atelectasis: A Randomized Controlled Trial

Devecel¹,

Şenturan²

2018

FNJN

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“…Direct or indirect effects of surgery can lead to respiratory muscle dysfunction. Location of surgical incisions, length of the surgery, post-surgical deconditioning, procedures causing neurological damage or dysfunction can lead to respiratory muscle dysfunction, reducing tidal volume (TV), vital capacity (VC), and total lung capacity (TLC) [4,10]. Insufficient cough and insufficient inspiratory effort due to pain following surgery can lead to atelectasis, reduce functional residual capacity and lead to ventilation-perfusion mismatch.…”

Section: How Does Surgery Affect Pulmonary Function?mentioning

confidence: 99%

Perioperative pulmonary complications: can they be predicted and minimized?

Rajapakse

Amarasiri

2021

Sri Lanka j Surg

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Patients undergo surgery for various reasons. A main concern for the surgeon and anaesthetist is the occurrence of pulmonary complications during and after surgery. Perioperative pulmonary complications are more frequent in patients with compromised pulmonary function. If there is a possibility to predict such complications, necessary precautions could be taken, and the patients could be optimized to ensure that such complications are minimized. A better understanding of the physiological changes and risk factors predisposing to perioperative pulmonary complications is essential to develop strategies for reducing these complications. The resulting reduction in morbidity and mortality would lead to improvement of quality of life and reduced of costs. This article aims to make the surgeon aware of the possible surgery and anaesthesia related physiological derangements, and human and environmental factors in the operating theatre that can contribute to perioperative respiratory complications in patients undergoing surgery that is not directly related to the lungs. It stresses on the importance of actively looking for unseen and underlying physiological, pathological, patient and drug related factors to minimize perioperative pulmonary complications, highlighting important considerations in patients with underlying pulmonary disease.

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“…Complications were determined to be about 17 times higher in patients with a Cardio-Pulmonary Risk Index (CPRI) higher than 4 as compared to patients with CPRI lower than 4. [37] Patient related risk factors for increased postoperative pulmonary complications (PPC) are higher age (≥ 65 years), presence of COPD and asthma, history of (h/o) smoking, h/o obstructive sleep apnoea, poor general health status (CPRI>4), pulmonary hypertension (Right ventricular systolic pressure > 35 mmHg), heart failure, low albumin level (<3gm/dL) and presence of upper respiratory tract infection. Pulmonary symptoms that need evaluation are dyspnoea, wheezing, chest pain, cough, haemoptysis and sputum production, h/o smoking and drug use, occupational history and presence of any cardiopulmonary co-morbid conditions.…”

Section: Management Of the Patient In The Perioperative Periodmentioning

confidence: 99%

“…Pulmonary symptoms that need evaluation are dyspnoea, wheezing, chest pain, cough, haemoptysis and sputum production, h/o smoking and drug use, occupational history and presence of any cardiopulmonary co-morbid conditions. [37][38][39] Surgery related risk factors include the following: the rate of PPC is inversely proportional to the distance of surgical incision to the diaphragm. Operative duration more than 3 -4 hours and open surgery (Compared with laparoscopic) bear more risk.…”

Section: Management Of the Patient In The Perioperative Periodmentioning

confidence: 99%

“…Operative duration more than 3 -4 hours and open surgery (Compared with laparoscopic) bear more risk. [37] Among the procedure related risk factors-the types of surgery and the emergency surgery are recognised to be the most important predictors. Arozullah's Respiratory Failure Risk Index, a multifactorial risk index, is used by some clinicians for estimation of postoperative respiratory failure.…”

Section: Management Of the Patient In The Perioperative Periodmentioning

confidence: 99%

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Evaluation and Management of the Dyspnoeic Patient- A Challenge to the Anaesthesiologist

Bagchi¹,

Mandal²,

Saha³

et al. 2018

jemds

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BACKGROUNDAnaesthesiologists are not infrequently facing the problematic patient presenting in the pre-anaesthetic clinic with evident dyspnoea, which has not been properly evaluated. Dyspnoea being a presentation of several severe disorders, its evaluation and management remains important even today to modify the risks entailed and to diminish the perioperative complications along with post-operative ventilation. In this perspective, we searched for relevant medical literature in English language using Google Search Engine. A thorough search for articles was done using the following Medical Subject Headings (MeSH) terms such as 'Dyspnoea,' 'Dyspnoea/ aetiology,' 'Dyspnoea/ physiopathology,' 'Dyspnoea/ diagnosis,' 'Dyspnoea/ therapy,' 'Dyspnoea/ psychology,' 'Exercise/ physiology,' 'Respiratory Insufficiency' and 'Sensation.' The full text articles published in last two decades were mainly considered with the exception for some old seminal articles, which dates back to the 50's. Subsequently, the articles are filtered and only the review articles, original investigations, guidelines and editorials were consulted. Framing of this article was envisaged to provide an overview of the varying aetiology of dyspnoea, its work-up and management in the light of recent advances. This may help in the refreshment of knowledge, which can help reducing the perioperative mortality and morbidity of these patients, already living a restricted life-style with a considerable morbidity.

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Summary of Consensus Report on Preoperative Evaluation

Cited by 6 publications

References 69 publications

The Effect of Breathing Exercises on Preventing Postoperative Atelectasis: A Randomized Controlled Trial

The Effect of Breathing Exercises on Preventing Postoperative Atelectasis: A Randomized Controlled Trial

Perioperative pulmonary complications: can they be predicted and minimized?

Evaluation and Management of the Dyspnoeic Patient- A Challenge to the Anaesthesiologist

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