Type your tag names separated by a space and hit enter

Specific Considerations with Pulmonary Disease - Perioperative Treatment in Pulmonary Disease

Specific Considerations with Pulmonary Disease - Perioperative Treatment in Pulmonary Disease is a topic covered in the Clinical Anesthesia Procedures.

To view the entire topic, please or purchase a subscription.

Anesthesia Central is an all-in-one web and mobile solution for treating patients before, during, and after surgery. This collection of drug, procedures and test information is derived from Davis’s Drug, MGH Clinical Anesthesia Procedures, Pocket Guide to Diagnostic Tests, and MEDLINE Journals. Explore these free sample topics:

Anesthesia Central

-- The first section of this topic is shown below --

Perioperative Treatment in Pulmonary Disease

The goals of preoperative treatment are to improve the aspects of disease that may be reversible.

  1. Cessation of smoking for 12 hours before surgery may reduce nicotine and carboxyhemoglobin levels, promoting better tissue oxygen transport. Cessation of smoking for longer periods (at least several weeks) does reduce the risk of wound infection and may reduce the risk of POPCs by improving ciliary function and reducing airway secretions and irritability.
  2. Those with acute exacerbations of COPD or asthma should be treated and elective procedures delayed until resolution. Unfortunately, there are no data on how long after resolution that the patient remains at increased risk.
  3. Identification of the patient with sleep apnea and institution of and optimization of continuous airway pressure/bilevel positive airway pressure (CPAP/BIPAP) preoperatively may be associated with improved outcomes.
  4. Measures aimed at preventing perioperative thromboembolism (such as compression stockings or anticoagulants) are important for all major surgeries. These may be instituted, preoperatively, intraoperatively, or postoperatively.
  5. Lung expansion maneuvers (voluntary deep breathing, coughing, incentive spirometry, and chest percussion and vibration combined with postural drainage) improve mobilization of secretions and increase lung volumes, reducing the incidence of POPCs. Training in these methods preoperatively should ideally be done to optimize postoperative outcome.

-- To view the remaining sections of this topic, please or purchase a subscription --

Citation

Pino, Richard M., editor. "Specific Considerations With Pulmonary Disease - Perioperative Treatment in Pulmonary Disease." Clinical Anesthesia Procedures, 9th ed., Wolters Kluwer, 2019. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728132/all/Specific_Considerations_with_Pulmonary_Disease___Perioperative_Treatment_in_Pulmonary_Disease.
Specific Considerations with Pulmonary Disease - Perioperative Treatment in Pulmonary Disease. In: Pino RM, ed. Clinical Anesthesia Procedures. 9th ed. Wolters Kluwer; 2019. https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728132/all/Specific_Considerations_with_Pulmonary_Disease___Perioperative_Treatment_in_Pulmonary_Disease. Accessed April 25, 2019.
Specific Considerations with Pulmonary Disease - Perioperative Treatment in Pulmonary Disease. (2019). In Pino, R. M. (Ed.), Clinical Anesthesia Procedures. Available from https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728132/all/Specific_Considerations_with_Pulmonary_Disease___Perioperative_Treatment_in_Pulmonary_Disease
Specific Considerations With Pulmonary Disease - Perioperative Treatment in Pulmonary Disease [Internet]. In: Pino RM, editors. Clinical Anesthesia Procedures. Wolters Kluwer; 2019. [cited 2019 April 25]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728132/all/Specific_Considerations_with_Pulmonary_Disease___Perioperative_Treatment_in_Pulmonary_Disease.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Specific Considerations with Pulmonary Disease - Perioperative Treatment in Pulmonary Disease ID - 728132 ED - Pino,Richard M, BT - Clinical Anesthesia Procedures UR - https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728132/all/Specific_Considerations_with_Pulmonary_Disease___Perioperative_Treatment_in_Pulmonary_Disease PB - Wolters Kluwer ET - 9 DB - Anesthesia Central DP - Unbound Medicine ER -