Postoperative pulmonary complications and reversal agents

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Postoperative Pulmonary Complications

Postoperative pulmonary complications (PPCs) are a common outcome of cardiothoracic surgery. When allowed to progress, PPCs can result in serious sequelae, such as respiratory failure, pulmonary embolism, acute lung injury, or acute respiratory distress syndrome. The prevention of PPCs requires a comprehensive approach that includes assessment of preoperative risk, smoking cessation, and attent...

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Postoperative Pulmonary Complications

The literature dealing with the case incidence of pulmonary complications occurring after operation reveals a wide range in the reported data. For example, Cutler and Scott' collected 41,368 operative cases, from the records of eight dinics, with an incidence of 1.12 per cent of postoperative pneumonia. Many other reported series approximate this percentage. On the other hand, in 1930, Fuller,2...

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Postoperative pulmonary complications after laparotomy.

BACKGROUND The frequency of, and risks for, postoperative pulmonary complications (PPCs) after laparotomy are incompletely understood. The wide-ranging incidence of PPCs in the literature reflects methodological issues including variable definitions of PPCs and varied patient populations. OBJECTIVES We sought to elucidate the incidence of PPCs after laparotomy and clarify risks for their deve...

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Residual curarization and postoperative Respiratory complications following laparoscopic sleeve gastrectomy. The effect of Reversal agents: sugammadex vs. neostigmine

Background: Incomplete muscle relaxant reversal or re-curarization may be associated with postoperative respiratory complications. In this retrospective study we compared the incidence of postoperative residual curarization and respiratory complications in association with the type of muscle relaxant reversal agent, sugammadex or neostigmine, in patients undergoing laparoscopic sleeve gastrecto...

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Assessing and modifying the risk of postoperative pulmonary complications.

Preoperative pulmonary evaluation and preparation involve first identifying patients at risk for complications and then attempting to modify that risk. For most patients without underlying lung disease, a thorough history and physical examination and preoperative instruction in the use of incentive spirometry is sufficient. In patients with known or suspected lung disease, preoperative pulmonar...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 2018

ISSN: 0007-0912

DOI: 10.1016/j.bja.2017.12.024