Key result
Preoperative evaluation of pulmonary risk based on clinical symptoms and physical status helps guide anesthetic and surgical care to reduce adverse respiratory outcomes.
Preoperative pulmonary risk stratification should primarily rely on clinical evaluation rather than routine additional testing, except for high abdominal or thoracic procedures where pulmonary function tests are relevant.
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May support clinical symptom-based pulmonary risk assessment over routine testing; leaves open prospective validation across surgical populations.
BACKGROUND AND OBJECTIVES: In daily clinical practice, pulmonary complications related to surgical procedure are common, increasing the morbidity and mortality of patients. Assessment of the risk of pulmonary complications is an important step in the preoperative evaluation. Thus, we review the most relevant aspects of preoperative assessment of the patient with lung disease. CONTENT: Pulmonary risk stratification depends on clinical symptoms and patient's physical status. Age, preexisting respiratory diseases, nutritional status, and continued medical treatment are usually more important than additional tests. Pulmonary function tests are of great relevance when high abdominal or thoracic procedures are scheduled, particularly when lung resection are considered. CONCLUSION: Understanding the perioperative evaluation of the potential risk for developing pulmonary complication allows the medical team to choose the adequate anesthetic technique and surgical and clinical care required by each patient, thereby reducing adverse respiratory outcomes.
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Degani‐Costa et al. (2013) conducted a review in Pulmonary disease in patients undergoing surgical procedures. Preoperative evaluation was evaluated. Preoperative evaluation of pulmonary risk based on clinical symptoms and physical status helps guide anesthetic and surgical care to reduce adverse respiratory outcomes.
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