Fatores prognósticos em complicações pós-operatórias de ressecção pulmonar: análise de pré-albumina, tempo de ventilação mecânica e outros

Low Perioperative Serum Prealbumin Predicts Early Recurrence after Curative Pulmonary Resection for Non‐Small‐Cell Lung Cancer

“…They concluded that NSCLC patients whose tumor resection was curative showed an improvement in energy balance caused by both a decreased resting energy expenditure and increased energy intake. Most related studies have shown a tendency toward malnutrition in operative NSCLC patients [25–28]. On the other hand, Jagoe et al [29] reported that severe nutritional depletion was uncommon in lung cancer patients referred for surgery and that its incidence may have been overestimated in some previous reports.…”

“…A few studies have been conducted to determine the influence of the perioperative nutritional status in lung cancer patients [25][26][27][28][29]. Bashir et al [25] demonstrated that there was a significant fall in the serum concentration of both prealbumin and transferrin in the first postoperative week.…”

Stairs Climbing Test with Pulse Oximetry as Predictor of Early Postoperative Complications in Functionally Impaired Patients with Lung Cancer and Elective Lung Surgery: Prospective Trial of Consecutive Series of Patients

“…Arrhythmia was also more prevalent after thoracotomy, especially in older patients (17). Furthermore, our patients had a greater need for postoperative artificial ventilation and oxygenation, which can be explained by markedly lower respiratory capacity of these patients than of patients who had undergone lung resection in other studies (18)(19)(20) or our patients with lung resective surgery with FEV 1 > 2 L operated in the same time period (28 patients on artificial ventilation of 2756 operated; unpublished data). The other reason could be an excess of anesthetic and relaxant agents during operation which caused delayed degradation and inability for spontaneous breathing after surgery.…”

Inspirômetro de incentivo no pós-operatório de cirurgia torácica: uma revisão sistemática

“…O procedimento cirúrgico causa redução da capacidade pulmonar e disfunção diafragmática, além de prejudicar as trocas gasosas, a atividade mucociliar e a eficácia da tosse, podendo acarretar em atelectasias, hipoxemia 2 , infecção traqueobrônquica, pneumonia, insuficiência respiratória aguda e dependência da ventilação mecânica 5,6,7 . O local da incisão cirúrgica, seja ela por toracotomia (incisões anterior, axilar, antero-latero-posterior) ou por esternotomia (vertical, arciforme ou ômega), e o próprio processo anestésico (barbitúricos, fenóis, imidazóis, fenciclidinas e benzodiazepínicos), são fatores que levam a um padrão respiratório restritivo.…”