Postoperative Pulmonary Complications
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Questions and Answers

What is a major factor contributing to the development of postoperative pulmonary complications?

  • Increased lung volume after surgery
  • Increased diaphragmatic function after surgery
  • Unchanged lung volume after surgery
  • Reduced lung volume after surgery (correct)
  • Which surgical procedures are associated with a reduction of VC by 50 to 60%?

  • Thoracic and upper-abdominal surgery (correct)
  • Orthopedic surgery
  • Lower abdominal surgery
  • Plastic surgery
  • What contributes to the risk of atelectasis, pneumonia, and (V/Q) mismatching?

  • VC > closing volumes
  • FRC > closing volumes
  • FRC < closing volumes (correct)
  • VC < closing volumes
  • What can cause diaphragmatic dysfunction after surgery?

    <p>Postoperative pain and splinting</p> Signup and view all the answers

    What impairs mucociliary clearance of respiratory secretions?

    <p>Inhibition of cough</p> Signup and view all the answers

    Study Notes

    Postoperative Pulmonary Complications

    • Contribute significantly to perioperative morbidity and mortality in 25%–50% of major surgical procedures.
    • Thoracic procedures carry the highest risk, followed by abdominal procedures.

    Patient Risk Factors

    • Patients with pulmonary disease are at higher risk in proportion to the degree of their pulmonary impairment.

    Purposes of Preoperative Testing

    • Estimate postoperative lung function in candidates for pneumonectomy or lobectomy.
    • Plan perioperative care to minimize complications, including preoperative preparation, anesthetic type and duration, and postoperative care.
    • Enhance the estimate of risk involved in the surgical procedure (morbidity and mortality) derived from history and physical examination.

    Post-operative Pulmonary Complications

    • The frequency of postoperative pulmonary complications varies from 2 to 70%.
    • The wide range is due in part to patient selection and procedure-related risk factors, as well as differing definitions for postoperative complications.

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    Description

    Learn about the significance, risk factors, and preoperative testing for postoperative pulmonary complications. Understand the impact of pulmonary disease on surgical outcomes.

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