Prognostic factors for perioperative pulmonary events among patients undergoing upper abdominal surgery

Abstract

In upper abdominal surgery under general anesthesia, female sex, age over 70, smoking and COPD were independent risk factors for intra and postoperative pulmonary events.

Use of sugammadex in patients with a history of pulmonary disease

“…It is widely recognized that patients with hyperactive airway diseases such as asthma are at increased risk of intraoperative bronchospasm [1][2][3]30], and this may explain why bronchospasm was observed in these two patients with a history of moderate and severe asthma, respectively. Anticipation of possible bronchospasm is recommended for patients with a history of pulmonary complications who receive sugammadex [31].…”

“…Although general anesthesia is usually administered safely and without complication in healthy patients, pulmonary complications during general anesthesia are possible [1]. Patients with a history of asthma or chronic obstructive pulmonary disease (COPD) have an increased risk of intraoperative bronchospasm and hypoxemia [1][2][3].…”

“…Patients with a history of asthma or chronic obstructive pulmonary disease (COPD) have an increased risk of intraoperative bronchospasm and hypoxemia [1][2][3]. In addition, the risk of postoperative pulmonary complications such as pneumonia, respiratory failure with prolonged mechanical ventilation, atelectasis, and exacerbation of underlying chronic lung disease [4][5][6][7] is also increased in these patients.…”

Valor dos achados clínicos e da avaliação funcional pulmonar pré-operatórios como preditores das complicações pulmonares pós-operatórias

“…The most frequently identified risk factor for POPC is COPD, with a rate of postoperative complications that varies from 26% to 78% 2,10,17 . There was no significant association between POPC and COPD in the patient sample that we investigated.…”

Chronic pulmonary diseases are independent risk factors for complications after radical nephrectomy

“…Kroenke et al [8] proposed that noncardiac surgery could safely be performed in patients with severe COPD. More recently, Sakai et al [9] established that female sex, age over 70, smoking, and COPD were independent risk factors for intra and postoperative pulmonary events in upper abdominal surgical operations. Consistent with our study, in other studies which were done for upper abdominal operations other than renal surgeries, chronic pulmonary disease was reported to be an important risk factor for postoperative complications [10,11,12,13].…”