scholarly journals Association of Intraoperative Ventilator Management With Postoperative Oxygenation, Pulmonary Complications, and Mortality

2020 ◽  
Vol 130 (1) ◽  
pp. 165-175 ◽  
Author(s):  
Nicholas J. Douville ◽  
Elizabeth S. Jewell ◽  
Neal Duggal ◽  
Ross Blank ◽  
Sachin Kheterpal ◽  
...  
Keyword(s):  
Pulmonary Complications ◽  
Postoperative Oxygenation ◽  
Ventilator Management ◽  
Complications And Mortality

Prone position in thoracoscopic esophagectomy improves postoperative oxygenation and reduces pulmonary complications

2016 ◽  
Vol 31 (3) ◽  
pp. 1136-1141 ◽  
Author(s):  
Dai Otsubo ◽  
Tetsu Nakamura ◽  
Masashi Yamamoto ◽  
Shingo Kanaji ◽  
Kiyonori Kanemitsu ◽  
...  
Keyword(s):  
Prone Position ◽  
Pulmonary Complications ◽  
Thoracoscopic Esophagectomy ◽  
Postoperative Oxygenation

scholarly journals Preoperative Incentive Spirometry for Preventing Postoperative Pulmonary Complications in Patients Undergoing Coronary Artery Bypass Graft Surgery: A Prospective, Randomized Controlled Trial

2021 ◽  
Author(s):  
Essa M Sweity ◽  
Aidah A Alkaissi ◽  
Wafiq Othman ◽  
Ahmad Salahat
Keyword(s):  
Artery Bypass ◽  
Bypass Graft ◽  
Hospital Length ◽  
Pulmonary Complications ◽  
Hospital Length Of Stay ◽  
Control Group ◽  
Postoperative Pulmonary Complications ◽  
Mechanical Ventilation Duration ◽  
Postoperative Oxygenation ◽  
Incentive Spirometry

Abstract Background: Postoperative pulmonary complications (PPCs) often occur after cardiac operations, and are a leading cause of morbidity, inhibit oxygenation, and increase hospital length of stay, and mortality. Although clinical evidence for PPCs prevention is often unclear and crucial, measures take place to reduce PPCs. One device usually used for this reason is the incentive spirometry (IS). The Aim of the study is to evaluate the effect of preoperative incentive spirometry to prevent postoperative pulmonary complications, improve postoperative oxygenation, and decrease hospital stay following coronary artery bypass graft (CABG) surgery patients. Methods: This was a clinical randomized prospective study. A total of 80 patients were selected as candidates for CABG at An-Najah National University Hospital, Nablus-Palestine. Patients had been randomly assigned into two groups: incentive spirometry group (IS), SI performed before surgery (study group) and control group, preoperative spirometry was not performed. The 40 patients in each group received the same protocol of anesthesia and ventilation in the operating room. Result: The study findings showed that there was a significant difference between the IS group and control group in the incidence of postoperative atelectasis, there were 8 patients (20.0%) in IS group and 17 patients (42.5 %) in the control group (p= 0.03). Mechanical ventilation duration was significantly less in group IS group, the median was four hours versus six hours in the control group (p < 0.001). Hospital length of stay was significantly less in group IS group, the median was six days versus seven days in the control group (p < 0.001). Median of the amount of arterial blood oxygen and oxygen saturation was significantly effective improvement in IS group with (p < 0.005). Conclusion: Preoperative incentive spirometry for 2 days along with exercises of deep breathing, encouraged coughing and early ambulation following CABG are in connection with prevention and decrease incidence of atelectasis, hospital stay, mechanical ventilation duration and improved postoperative oxygenation with better pain control. A difference that can be considered both significant and clinically relevant.Trial registration Thai Clinical Trials Registry: TCTR20201020005. Registered 17 October 2020 - Retrospectively registered.

scholarly journals 1222 Improving Consenting for Emergency General Surgery During The COVID-19 Pandemic

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
B Oyewole ◽  
A Sandhya ◽  
A Tawfik ◽  
A Elzaafarany ◽  
J Ma ◽  
...  
Keyword(s):  
Perioperative Period ◽  
Pulmonary Complications ◽  
Surgical Patients ◽  
Inclusion Criteria ◽  
Emergency General Surgery ◽  
Exclusion Criteria ◽  
Incision And Drainage ◽  
Consent Forms ◽  
Risk Of Death ◽  
Complications And Mortality

Abstract Aim Patients undergoing surgery during the Covid pandemic are exposed to increased risks of pulmonary complications and mortality. These novel risks need to be documented on the consent form. We carried out various interventions to ensure appropriate consenting and documentation following an initial audit that revealed poor compliance with published guidelines. Method The initial audit reviewed consent forms of patients undergoing emergency surgery over two-weeks in May 2020 while the re-audit was over a two-week period in June 2020 following implementation of interventions. Inclusion Criteria: Age &gt;18-years, urgent or emergency laparoscopic surgery Exclusion criteria: Age &lt;18-years, Open surgery, ‘Covid-light’ areas, NELA. Results 57 consent forms were assessed during the audit loop: 22 laparoscopic appendicectomies and diagnostic laparoscopies, 14 incision and drainage, 8 laparoscopic cholecystectomies, 4 hernia repairs, and 9 other procedures. Consenting for covid pneumonia increased from 70% to 89%, potential ITU admission 56% from 25% and the risk of death 63% from 21% Conclusions The covid pandemic changed our surgical practice. There are many unknowns regarding the risks to surgical patients, however, evidence shows increased risks of covid pneumonia, ITU admission and death in the perioperative period. Our consenting and the documentation of such conversations with patients must reflect our new reality.

Early single-shot intravenous steroids do not affect pulmonary complications and mortality in burned or scalded patients

Burns ◽  
2013 ◽  
Vol 39 (5) ◽  
pp. 935-941 ◽  
Author(s):  
Oliver C. Thamm ◽  
Walter Perbix ◽  
Max J. Zinser ◽  
Paola Koenen ◽  
Arasch Wafaisade ◽  
...  
Keyword(s):  
Pulmonary Complications ◽  
Single Shot ◽  
Intravenous Steroids ◽  
Complications And Mortality

scholarly journals Preoperative incentive spirometry for preventing postoperative pulmonary complications in patients undergoing coronary artery bypass graft surgery: a prospective, randomized controlled trial

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Essa M. Sweity ◽  
Aidah A. Alkaissi ◽  
Wafiq Othman ◽  
Ahmad Salahat
Keyword(s):  
Artery Bypass ◽  
Bypass Graft ◽  
Hospital Length ◽  
Pulmonary Complications ◽  
Hospital Length Of Stay ◽  
Control Group ◽  
Postoperative Pulmonary Complications ◽  
Mechanical Ventilation Duration ◽  
Postoperative Oxygenation ◽  
Incentive Spirometry

Abstract Background Postoperative pulmonary complications (PPCs) often occur after cardiac operations and are a leading cause of morbidity, inhibit oxygenation, and increase hospital length of stay and mortality. Although clinical evidence for PPCs prevention is often unclear and crucial, measures occur to reduce PPCs. One device usually used for this reason is incentive spirometry (IS). The aim of the study is to evaluate the effect of preoperative incentive spirometry to prevent postoperative pulmonary complications, improve postoperative oxygenation, and decrease hospital stay following coronary artery bypass graft (CABG) surgery patients. Methods This was a clinical randomized prospective study. A total of 80 patients were selected as candidates for CABG at An-Najah National University Hospital, Nablus-Palestine. Patients had been randomly assigned into two groups: incentive spirometry group (IS), SI performed before surgery (study group) and control group, preoperative spirometry was not performed. The 40 patients in each group received the same protocol of anesthesia and ventilation in the operating room. Result The study findings showed a significant difference between the IS and control groups in the incidence of postoperative atelectasis. There were 8 patients (20.0%) in IS group and 17 patients (42.5%) in the control group (p = 0.03). Mechanical ventilation duration was significantly less in IS group. The median was four hours versus six hours in the control group (p < 0.001). Hospital length of stay was significantly less in IS group, and the median was six days versus seven days in the control group (p < 0.001). The median of the amount of arterial blood oxygen and oxygen saturation was significantly improved in the IS group (p < 0.005). Conclusion Preoperative incentive spirometry for two days along with the exercise of deep breathing, encouraged coughing, and early ambulation following CABG are in connection with prevention and decreased incidence of atelectasis, hospital stay, mechanical ventilation duration and improved postoperative oxygenation with better pain control. A difference that can be considered both significant and clinically relevant. Trial registration Thai Clinical Trials Registry: TCTR20201020005. Registered 17 October 2020—retrospectively registered.

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