Why the study?
Post-operative pulmonary complications and subsequent respiratory failure occur frequently after thoracic surgery and carry high morbidity and mortality, necessitating strategies to prevent re-intubation.
A multi-disciplinary approach addressing pre-, intra-, and post-operative factors is crucial to prevent post-operative respiratory failure and avoid re-intubation after thoracic surgery.
Supports multidisciplinary perioperative care to reduce re-intubation after thoracic surgery; leaves open confirmation in prospective trials.
Post-operative pulmonary complications (PPCs) occur in a large proportion of patients after thoracic surgery and are associated with higher rates of morbidity and mortality. Avoidance of PPCs can be achieved through a multi-disciplinary and multifactorial approach which addresses a number of pre-operative, intra-operative and post-operative factors. A subgroup of patients who develop PPCs will progress to post-operative respiratory failure (PORF). Treatment strategies for these patients all have the underlying aim of avoiding the need for re-intubation, which is associated with extremely high mortality. This review considers the aetiology, management and strategies for prevention of PORF after thoracic surgery.
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Taylor et al. (2021) studied this question.
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