Perioperative pulmonary complications

被引：4
作者：
Johnson, D. C. [1 ]
Kaplan, L. J. [1 ]
机构：
[1] Yale Univ, Sch Med, Dept Surg, Sect Trauma Surg Crit Care & Surg Emergencies, New Haven, CT 06520 USA
来源：
CURRENT OPINION IN CRITICAL CARE | 2011年 / 17卷 / 04期
关键词：
abdominal compartment syndrome; atelectasis; critical care; mechanical ventilation; noninvasive ventilation; perioperative pulmonary complications; risk assessment; surgery; thoracic compartment syndrome; volume overload; ABDOMINAL-SURGERY; POSTOPERATIVE COMPLICATIONS; COMPARTMENT SYNDROME; RESPIRATORY-FAILURE; VASCULAR-SURGERY; RISK-ASSESSMENT; ANESTHESIA; STRATEGIES; PRESSURE; TRAUMA;
D O I：
10.1097/MCC.0b013e328348bfc8
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
Purpose of review This article reviews current concepts in perioperative pulmonary management. Recent findings Preoperative risk assessment tools for perioperative pulmonary complications (POPCs) are evolving for both children and adults. Intraoperative management strategies have a demonstrable effect on outcomes. Late POPCs may be preceded by clinical signs. Summary POPCs are common and lead to significant resource utilization. Optimal POPC risk mitigation must span all phases of surgical care. Preoperative assessment may identify patients at risk and effectively lower their risk by identifying targeted interventions. Intraoperative strategies impact postoperative outcome. POPCs continue to be a concern for several days postoperatively. We review the current literature on this broad subject with a focus on implementable interventions for the clinician.
引用
收藏
页码：362 / 369
页数：8
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