Oesophagectomy and elective postoperative ventilation

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Implications of extubation failure and prolonged mechanical ventilation in the postoperative period following elective intracranial surgery.

Patients undergoing neurosurgery are predisposed to a variety of complications related to mechanical ventilation (MV). There is an increased incidence of extubation failure, pneumonia, and prolonged MV among such patients. The aim of the present study was to assess the influence of extubation failure and prolonged MV on the following variables: postoperative pulmonary complications (PPC), morta...

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Postoperative study of vital capacity and ventilation measurements following elective craniotomy.

CONTEXT AND OBJECTIVE Changes in pulmonary function commonly occur after general surgery. The aims were to evaluate vital capacity, tidal volume and respiratory frequency among patients undergoing elective craniotomy and to determine possible correlations of these parameters with surgery duration and etiology for neurosurgery. DESIGN AND SETTING Prospective, open study at a tertiary universit...

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Selection for oesophagectomy and postoperative outcome in a defined population.

OBJECTIVE To measure the extent of use of, and perioperative mortality from, oesophagectomy for carcinoma of the oesophagus, and to examine the association between oesophagectomy and long term survival. DESIGN Retrospective cohort study of cases of oesophageal carcinoma notified to the Thames Cancer Registry. SETTING South East Thames and South West Thames health regions. PATIENTS 3273 pa...

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Postoperative noninvasive ventilation.

POSTOPERATIVE hypoxemia and/or acute respiratory failure (ARF) mainly develop after abdominal and/or thoracic surgery. Anesthesia, postoperative pain, and surgery will induce respiratory modifications: hypoxemia, decrease in pulmonary volume, and atelectasis associated with a restrictive syndrome and a diaphragm dysfunction. These modifications of the respiratory function occur early after surg...

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An alternative postoperative pathway reduces length of hospitalisation following oesophagectomy.

OBJECTIVE As part of our ongoing quality improvement effort, we evaluated our conventional approach to post-oesophagectomy management by comparing it to an alternative postoperative management pathway. METHODS Medical records from 386 consecutive patients undergoing oesophagectomy with gastric conduit for oesophageal cancer or Barrett's oesophagus with high-grade dysplasia were analysed retro...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 2004

ISSN: 0007-0912,1471-6771

DOI: 10.1093/bja/aeh561