Key result
Preoperative evaluation and preparation are essential for patients with chronic obstructive pulmonary disease to reduce the risk of intraoperative and postoperative pulmonary complications.
Preoperative evaluation and preparation are crucial for reducing perioperative pulmonary and cardiovascular complications in patients with COPD.
May support preoperative optimization in COPD to limit pulmonary risks; leaves open the need for prospective trials to guide protocols.
Chronic obstructive pulmonary disease is a risk factor for development of intraoperative and postoperative pulmonary complications. Regarding the type and the extent of surgical procedure, patients with COPD are at risk of aggravation of pulmonary function which leads to complicated perioperative course. In order to reduce perioperative complications, preoperative evaluation and preoperative patient preparation are of great importance. Goals of preoperative preparation and anesthesia in patients with COPD are maintaining ventilation-perfusion ratio, preventing development of hipoxemia, intraoperative brochospasm, pneumothorax and disturbances of cardivascular system.
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Mandraš et al. (2011) conducted a review in Chronic obstructive pulmonary disease (COPD). Preoperative evaluation and preparation was evaluated on Intraoperative and postoperative pulmonary complications. Preoperative evaluation and preparation are essential for patients with chronic obstructive pulmonary disease to reduce the risk of intraoperative and postoperative pulmonary complications.
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