Related Experiment Videos
Perioperative pulmonary complications
1Department of Surgery, Yale University School of Medicine, New Haven, Connecticut 06520, USA. dirk.johnson@yale.edu
Insights
Optimizing perioperative pulmonary management is crucial for reducing complications. Early risk assessment and interventions across all surgical phases improve patient outcomes and lower resource utilization.
Area of Science:
- Pulmonology
- Anesthesiology
- Critical Care Medicine
Background:
- Perioperative pulmonary complications (POPCs) are frequent and resource-intensive.
- Effective management strategies are needed throughout the surgical care continuum.
Purpose of the Study:
- To review current concepts in perioperative pulmonary management.
- To focus on implementable interventions for clinicians.
Main Methods:
- Review of current literature on perioperative pulmonary management.
- Analysis of evolving risk assessment tools and management strategies.
Main Results:
- Preoperative risk assessment tools for POPCs are advancing for pediatric and adult patients.
- Intraoperative management significantly impacts patient outcomes.
- Late POPCs may present with identifiable clinical signs.
Conclusions:
- POPCs are common, impacting resource use and patient outcomes.
- Comprehensive risk mitigation strategies are essential, spanning preoperative, intraoperative, and postoperative care.
- Preoperative assessment and targeted interventions can reduce patient risk.
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. Intra-operative 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.
Related Concept Videos
Cardiomyopathy VII: Pre and Post Operative Nursing Management
Peripheral Artery Disease V: Postoperative Nursing Management
Pneumonia III: Complications and Assessment
Pulmonary Embolism I: Introduction
Pulmonary Embolism I: Introduction
Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD: