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Review
. 2015 Sep;59(9):542-9.
doi: 10.4103/0019-5049.165854.

Pre-operative pulmonary evaluation in the patient with suspected respiratory disease

Brian K Bevacqua  1
Affiliations
Review

Pre-operative pulmonary evaluation in the patient with suspected respiratory disease

Brian K Bevacqua. Indian J Anaesth. 2015 Sep.

Abstract

Post-operative pulmonary complications (POPC) occur frequently, especially in patients with pre-existing pulmonary disease and have a significant effect on post-surgical morbidity and mortality. By understanding the patient's existing pulmonary diseases that have a significant effect on post-operative morbidities a combination of information has to be gathered from a thorough history and physical exam as well as selected laboratory and diagnostic tests. Evidence based scores can then be employed to predict the risk of significant POPC. Numbers and testing alone, however, such as diagnosis of chronic obstructive pulmonary disease based on spirometry, may not provide as clear a picture as of the true risk of POPC that is determined by a combination of estimations of the patient's functional status, (b) measured by the patient's estimates of activity and (c) confirmed by the patient's ability to perform simple tasks such as the 6-minute walk test. This information can then be used to rationalize perioperative interventions and improve the safety of the perioperative experience.

Keywords: Anaesthesia; complications; postoperative pulmonary complications; pre-operative testing.

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References

    1. Yang CK, Teng A, Lee DY, Rose K. Pulmonary complications after major abdominal surgery: National Surgical Quality Improvement Program analysis. J Surg Res. 2015;198:441–9. - PubMed
    1. Taylor A, DeBoard Z, Gauvin JM. Prevention of Postoperative Pulmonary Complications. Surg Clin N Am. 2015;95:237–54. - PubMed
    1. Scholes RL, Browning L, Sztendur EM, Denehy L. Duration of anaesthesia, type of surgery, respiratory co-morbidity, predicted VO2 max and smoking predict postoperative pulmonary complications after upper abdominal surgery: An observational study. Aust J Physiother. 2009;55:191–8. - PubMed
    1. Qaseem A, Snow V, Fitterman N, Hornbake ER, Lawrence VA, Smetana GW, et al. Risk assessment for and strategies to reduce perioperative complications for patients undergoing noncardiothoracic surgery: A Guideline from the American College of Physicians. Ann Intern Med. 2006;144:575–80. - PubMed
    1. Smetana GW. Evaluation of Preoperative Pulmonary Risk Up To Date. 2015. [Last accessed on 2015 Apr 10]. http://www.uptodate.com/contents/evaluation-of-preoperative-pulmonary-ri... .