Key result
Perioperative respiratory care and thoracic epidurals cut postoperative pulmonary complications by up to ~60%.
Why the study?
Perioperative pulmonary complications are a major cause of morbidity and mortality globally, requiring anesthesiologists to identify patients at risk and apply preoperative, intraoperative, and postoperative lung protective strategies.
Do preoperative, intraoperative, and postoperative lung protective strategies reduce perioperative pulmonary complications in patients undergoing cardiothoracic or non-cardiothoracic surgery?
Do preoperative, intraoperative, and postoperative lung protective strategies reduce perioperative pulmonary complications in patients undergoing cardiothoracic or non-cardiothoracic surgery?
This narrative review synthesizes global evidence on patient and procedure-related risk factors for perioperative pulmonary complications and outlines actionable preoperative, intraoperative, and postoperative lung protective strategies to mitigate morbidity and mortality.
Supports perioperative lung protection to reduce complications; leaves open need for randomized confirmation before practice change.
Perioperative pulmonary complications are known to be a major cause of morbidity and mortality, and as such, contribute a large burden to the health care system globally. Anesthesiologists have an important role during the perioperative period to identify patients at risk of these complications and intervene in order to reduce them. After describing perioperative pulmonary complications and risk factors for such, this article will address preoperative, intraoperative, and postoperative lung protective strategies to try and reduce the risk of these complications.
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Marseu et al. (2017) conducted a review in Perioperative pulmonary complications in cardiothoracic and non-cardiothoracic surgery. Perioperative lung protective strategies (preoperative, intraoperative, and postoperative) was evaluated on Perioperative pulmonary complications (PCC). Preoperative chest physiotherapy, thoracic epidural analgesia, and postoperative lung expansion techniques can reduce perioperative pulmonary complications by one-third to 60% in surgical patients.
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