Pulmonary Evaluation of Surgical Patients

Stein, Martin H.; Koota, Gordon M.; Simon, M. Shiju; Frank, Howard A.

doi:10.1001/jama.1962.03050350027006

Cited by 192 publications

(39 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…1998;133:194-198 P ULMONARY complications following surgery are associated with significant morbidity [1][2][3][4] and have been shown to increase the length of hospitalization. 1,5,6 The identification of patientrelated features associated with increased risk for postoperative pulmonary complications (PPCs) has been reported; however, the results have been conflicting. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] Surgical features that increase risk include the performance of emergent procedures; longer anesthesia duration; and the surgical incision site, with thoracic and upper abdominal incisions having the highest rate of PPCs.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Multivariate Analysis of Factors Associated With Postoperative Pulmonary Complications Following General Elective Surgery

Mitchell

Smoger²,

Pfeifer³

et al. 1998

Arch Surg

157

View full text Add to dashboard Cite

To develop a predictive model identifying perioperative conditions associated with postoperative pulmonary complications (PPCs).Design: A prospective survey of patients whose preoperative history and physical examination, spirometric, PaO 2 and PaCO 2 analysis, and operative results were recorded. These patients underwent postoperative cardiopulmonary examinations until they were discharged from the hospital; their medical records were also reviewed until they were discharged from the hospital.

show abstract

Section: Discussionmentioning

confidence: 99%

“…5,10,18,20,33 Although smokers are more likely to produce sputum, not all smokers have productive coughs and smoking history is not a reliable predictor of PPCs. We found no association between spirometric results and PPCs, similar to the results of other studies.…”

Section: Commentmentioning

confidence: 99%

Multivariate Analysis of Factors Associated With Postoperative Pulmonary Complications Following General Elective Surgery

Mitchell

Smoger²,

Pfeifer³

et al. 1998

Arch Surg

157

View full text Add to dashboard Cite

show abstract

“…Spirometry is also helpful in determining whether patients with COPD or asthma are under optimal control before surgery. Early studies indicated that a partial pressure of arterial carbon dioxide (PaCO 2 ) greater than 45 mm Hg increases the risk of PPCs [71, 72]. However, later studies have not shown the association between a raised PaCO 2 and the PPCs risk [73].…”

Section: Risk Factors For Ppcsmentioning

confidence: 99%

Pre-operative pulmonary assessment for patients with hip fracture

Siu

Tse

et al. 2010

Osteoporos Int

View full text Add to dashboard Cite

Hip fracture is a common injury among the elderly. Although patients who receive hip fracture surgery carry the best functional recovery compared to other treatment modalities, the presence of postoperative pulmonary complications, such as atelectasis, pneumonia, and pulmonary thromboembolism, may contribute to increased length of hospital stay, perioperative morbidity, and mortality. This review aims to provide evidence-based recommendations for preoperative assessment and perioperative strategies to reduce the risk of pulmonary complications after hip fracture surgery. Clinical assessment and basic laboratory results are sufficient to stratify the risk of postoperative pulmonary complications. Well-documented risk factors for pulmonary complications include advanced age, poor general health status, current infections, pre-existing cardiopulmonary diseases, hypoalbuminemia, and impaired renal function. Apart from optimizing the patient's medical conditions, interventions such as lung expansion maneuvers and thromboprophylaxis have been proven to be effective in reducing the risk of pulmonary complications after hip fracture surgery.

show abstract

“…Lung function tests done prior to surgery have been used for decades to assist in estimating surgical risk 3 . Spirometry measures the volume of inhaled and exhaled air and respiratory flows, being especially useful in the analysis of data derived from forced expiratory maneuver and the peak expiratory flow (PEF).…”

Section: Introductionmentioning

confidence: 99%

Comparative evaluation of ventilatory function through pre and postoperative peak expiratory flow in patients submitted to elective upper abdominal surgery

Scheeren

Gonçalves

2016

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

Objective: to evaluate the ventilatory function by Peak Expiratory Flow (PEF) in the immediate pre and postoperative periods of patients undergoing elective surgical procedures in the upper abdomen. Methods: we conducted a prospective cohort study including 47 patients admitted to the Hospital Regional de Mato Grosso do Sul from July to December 2014, who underwent elective surgeries of the upper abdomen, and submiited to spirometric evaluation and measurement of PEF immediately before and after surgery. Results: of the 47 patients, 22 (46.8%) were male and 25 (53.20%) female. The mean preoperative PEF was 412.1±91.7, and postoperative, 331.0±87.8, indicating significant differences between the two variables. Men had higher PEF values than women, both in the pre and postoperative periods. There was a reasonable inverse correlation between age and decreased PEF. Both situations showed statistical significance (p<0.001). The group of smokers had lower PEF values both before and after surgery. The group of patients with comorbidities (hypertension and/or diabetes) showed lower PEF values both pre and postoperatively (p=0.005). In both groups, surgery resulted in a significant decrease in PEF (p<0.001). The type of surgery performed and the type of anesthesia did not show significant differences. Conclusion: the variables most involved in decreased lung function were: advanced age, smoking and presence of comorbidities. However, there is no consistent evidence to suggest conducting routine spirometry in such patients.

show abstract

Pulmonary Evaluation of Surgical Patients

Abstract: After operation, the patients were examined daily.

Cited by 192 publications

References 7 publications

Multivariate Analysis of Factors Associated With Postoperative Pulmonary Complications Following General Elective Surgery

Multivariate Analysis of Factors Associated With Postoperative Pulmonary Complications Following General Elective Surgery

Pre-operative pulmonary assessment for patients with hip fracture

Comparative evaluation of ventilatory function through pre and postoperative peak expiratory flow in patients submitted to elective upper abdominal surgery

Contact Info

Product

Resources

About