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Preoperative Evaluation: Estimation of Pulmonary Risk
Anand Lakshminarasimhachar1, Gerald W Smetana2
1Division of Cardiothoracic Anesthesiology, Barnes Jewish Hospital, Washington University School of Medicine in St. Louis, 660, South Euclid Avenue, St Louis, MO 63110, USA.
Postoperative pulmonary complications (PPCs) are common after surgery. Preoperative evaluation identifies risks and optimizes patient health before surgery to improve perioperative care.
Area of Science:
- Anesthesiology
- Pulmonology
- Critical Care Medicine
Background:
- Postoperative pulmonary complications (PPCs) are frequent after major non-thoracic surgery.
- PPCs contribute to significant patient morbidity and increased healthcare costs.
- Identifying and mitigating risk factors for PPCs is crucial for patient outcomes.
Purpose of the Study:
- To outline the importance of preoperative pulmonary evaluation.
- To identify patient and procedure-related risk factors for PPCs.
- To emphasize optimizing patient health prior to surgery.
Main Methods:
- Clinical examination to assess patient risk.
- Laboratory tests to support diagnostic evaluation.
- Guiding clinicians in providing optimal perioperative care.
Main Results:
- Risk factors for PPCs can be identified preoperatively.
- Optimization of patient health before surgery is achievable.
- Thorough evaluation aids in tailoring perioperative management.
Conclusions:
- Preoperative pulmonary evaluation is essential for managing PPCs.
- A comprehensive clinical and laboratory assessment guides perioperative care.
- Optimizing patient health preoperatively reduces surgical risks.
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