Why the study?
What are the current concepts and implementable interventions in perioperative pulmonary management to mitigate perioperative pulmonary complications?
What are the current concepts and implementable interventions in perioperative pulmonary management to mitigate perioperative pulmonary complications?
This review highlights the importance of comprehensive perioperative pulmonary management, including preoperative risk assessment and intraoperative strategies, to reduce pulmonary complications.
May warrant multimodal perioperative pulmonary strategies; leaves open optimal protocols for prospective validation.
PURPOSE OF REVIEW: This article reviews current concepts in perioperative pulmonary management. RECENT FINDINGS: Preoperative risk assessment tools for perioperative pulmonary complications (POPCs) are evolving for both children and adults. Intraoperative management strategies have a demonstrable effect on outcomes. Late POPCs may be preceded by clinical signs. SUMMARY: POPCs are common and lead to significant resource utilization. Optimal POPC risk mitigation must span all phases of surgical care. Preoperative assessment may identify patients at risk and effectively lower their risk by identifying targeted interventions. Intra-operative strategies impact postoperative outcome. POPCs continue to be a concern for several days postoperatively. We review the current literature on this broad subject with a focus on implementable interventions for the clinician.
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Johnson et al. (2011) studied this question.
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