Preoperative evaluation for postoperative pulmonary complications

Arozullah, Ahsan M.; Conde, Michelle V.; Lawrence, Valerie A.

doi:10.1016/s0025-7125(02)00151-7

Cited by 94 publications

(66 citation statements)

References 76 publications

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“…Based on literatures, advanced age, obesity, cigarette smokers, American Society of Anesthesiologist (ASA) physical status of>II, chronic obstructive pulmonary disease (COPD), low albumin level, upper abdominal and thoracic surgery, prolonged surgical and anesthesia time [10,11], general anesthesia with long acting muscle relaxant [12] and type of endotracheal tube [13] are the identified risk factors for postoperative pulmonary complications.…”

Section: Introductionmentioning

confidence: 99%

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Postoperative Pulmonary Complications and Associated Factors among Surgical Patients

Denu¹,

Yasin²,

Melekie³

et al. 2015

J Anesth Clin Res

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Section: Introductionmentioning

confidence: 99%

“…Postoperative pulmonary complications (PPC), though their risk factor is poorly studied as compared to cardiovascular risk factors, remain to be important cause of morbidity and mortality related to surgery and anesthesia [17,18]. Knowledge about PPC and factors predicting PPC in our local setup is lacking.…”

Section: Introductionmentioning

confidence: 99%

Postoperative Pulmonary Complications and Associated Factors among Surgical Patients

Denu¹,

Yasin²,

Melekie³

et al. 2015

J Anesth Clin Res

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“…1,2 The reported incidence of PPCs ranges from 10% to 88%, depending on the definition used and the population studied. [1][2][3][4][5][6][7][8] The incidence of PPCs also depends on the procedure and on individual patients' postoperative risk factors. 1 Compared to peripheral surgery, thoracic and upper abdominal surgeries result in the highest incidence of PPCs.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8] The incidence of PPCs also depends on the procedure and on individual patients' postoperative risk factors. 1 Compared to peripheral surgery, thoracic and upper abdominal surgeries result in the highest incidence of PPCs. 2,6,8,9 After open upper abdominal surgery (UAS), patients routinely develop a restrictive respiratory deficit characterized by a severe reduction (50-60%) in vital capacity and a lesser reduction (20%) in functional residual capacity, 4,10-14 which does not fully recover within the first postoperative week, regardless of anaesthetic technique.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Abdominal Support on Functional Outcomes in Patients Following Major Abdominal Surgery: A Randomized Controlled Trial

Cheifetz¹,

Lucy²,

Overend³

et al. 2010

Physiotherapy Canada

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Purpose: Immobility and pain are modifiable risk factors for development of venous thromboembolism and pulmonary morbidity after major abdominal surgery (MAS). The purpose of this study was to investigate the effect of abdominal incision support with an elasticized abdominal binder on postoperative walk performance (mobility), perceived distress, pain, and pulmonary function in patients following MAS. Methods: Seventy-five patients scheduled to undergo MAS via laparotomy were randomized to experimental (binder) or control (no binder) groups. Sixty (33 male, 27 female; mean age 58 e 14.9 years) completed the study. Preoperative measurements of 6-minute walk test (6MWT) distance, perceived distress, pain, and pulmonary function were repeated 1, 3, and 5 days after surgery. Results: Surgery was associated with marked postoperative reductions (p < 0.001) in walk distance (P75-78%, day 3) and forced vital capacity (35%, all days) for both groups. Improved 6MWT distance by day 5 was greater (p < 0.05) for patients wearing a binder (80%) than for the control group (48%). Pain and symptom-associated distress remained unchanged following surgery with binder usage, increasing significantly (p < 0.05) only in the no binder group. Conclusion: Elasticized abdominal binders provide a non-invasive intervention for enhancing recovery of walk performance, controlling pain and distress, and improving patients' experience following MAS.Key Words: abdominal binder, abdominal surgery, Adapted Symptom Distress Scale, pain, 6-minute walk test RÉ SUMÉObjectif : L'immobilité et la douleur sont des facteurs de risque modifiables dans le dé veloppement de thrombo-embolie veineuse et de morbidité pulmonaire à la suite d'une intervention chirurgicale abdominale majeure. L'objectif de cette é tude é tait d'investiguer les effets d'un soutien de l'incision abdominale à l'aide d'une bande abdominale é lastique sur la marche (mobilité ) postopé ratoire, sur la douleur perç ue, la douleur et la fonction pulmonaire des patients à la suite d'une telle intervention. Mé thode : 75 sujets appelé s à subir une chirurgie abdominale majeure par laparotomie ont é té choisis de fac¸on alé atoire pour faire partie du groupe expé rimental (avec bande abdominale) et d'un groupe de contrô le (sans bande abdominale). De ce nombre, 60 (33 hommes et 27 femmes dont la moyenne d'â ge é tait de 58 e 14,9 ans) ont participé à l'é tude jusqu'à la fin. Les mesures pré opé ratoires comprenaient un test de marche de 6 minutes (TM6), une mesure du degré de douleur perç u, de la douleur et de la fonction pulmonaire; ces mesures ont aussi é té prises aux jours 1, 3 et 5 suivant l'intervention. Ré sultats : L'intervention chirurgicale a é té associé e à des diminutions postopé ratoires marqué es (p < 0.001) dans la distance de marche (P75-78 %, au jour 3) la capacité pulmonaire forcé e (35 %, tous les jours), et ce, pour les deux groupes. L'amé lioration du TM6 au jour 5 a toutefois é té plus importante (p < 0,05) chez les sujets portant une bande abdominale (80 %)...

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“…There is a moderate correlation between the incidence of pathologic findings in lung function tests and the occurrence of perioperative pulmonary complications [11]. Therefore, knowledge of the results of pulmonary examinations can help to reduce perioperative morbidity and mortality not only in patients undergoing thoracic surgery [25], but also in patients with a pulmonary risk undergoing major epigastric interventions [26,27]. Preoperative lung function tests are thus indicated in patients with new-onset or suspected active pulmonary conditions for estimation of disease severity and treatment monitoring (.…”

Section: A34 Lung Function Testsmentioning

confidence: 99%

Preoperative evaluation of adult patients before elective, noncardiothoracic surgery

Zwißler

2017

Anaesthesist

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Preoperative evaluation for postoperative pulmonary complications

Cited by 94 publications

References 76 publications

Postoperative Pulmonary Complications and Associated Factors among Surgical Patients

Postoperative Pulmonary Complications and Associated Factors among Surgical Patients

The Effect of Abdominal Support on Functional Outcomes in Patients Following Major Abdominal Surgery: A Randomized Controlled Trial

Preoperative evaluation of adult patients before elective, noncardiothoracic surgery

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