Evaluation of risk factors for postoperative pulmonary complications after elective open upper abdominal surgery in chronic obstructive pulmonary diseases patients

2019 ◽  
Vol 33 (1) ◽  
pp. 47
Author(s):  
Sanjay Sahay ◽  
MukeshKumar Prasad ◽  
RohitKumar Varshney ◽  
GurdeepSingh Jheetay
Keyword(s):  
Risk Factors ◽  
Abdominal Surgery ◽  
Pulmonary Complications ◽  
Pulmonary Diseases ◽  
Chronic Obstructive ◽  
Postoperative Pulmonary Complications ◽  
Upper Abdominal Surgery ◽  
Chronic Obstructive Pulmonary Diseases ◽  
Upper Abdominal

scholarly journals Prospective assessment of the risk of postoperative pulmonary complications in patients submitted to upper abdominal surgery

1999 ◽  
Vol 117 (4) ◽  
pp. 151-160 ◽  
Author(s):  
Eanes Delgado Barros Pereira ◽  
Ana Luisa Godoy Fernandes ◽  
Meide da Silva Anção ◽  
Clóvis de Araújo Peres ◽  
Álvaro Nagib Atallah ◽  
...  
Keyword(s):  
Risk Factors ◽  
Abdominal Surgery ◽  
Pulmonary Disease ◽  
Pulmonary Complications ◽  
Smoking Habits ◽  
Chronic Pulmonary Disease ◽  
Postoperative Pulmonary Complications ◽  
Upper Abdominal Surgery ◽  
Duration Of Surgery ◽  
Upper Abdominal

OBJECTIVE: To investigate associations between preoperative variables and postoperative pulmonary complications (PPC) in elective upper abdominal surgery. DESIGN: Prospective clinical trial. SETTING: A tertiary university hospital. PATIENTS: 408 patients were prospectively analyzed during the preoperative period and followed up postoperatively for pulmonary complications. MEASUREMENTS: Patient characteristics, with clinical and physical evaluation, related diseases, smoking habits, and duration of surgery. Preoperative pulmonary function tests (PFT) were performed on 247 patients. RESULTS: The postoperative pulmonary complication rate was 14 percent. The significant predictors in univariate analyses of postoperative pulmonary complications were: age >50, smoking habits, presence of chronic pulmonary disease or respiratory symptoms at the time of evaluation, duration of surgery >210 minutes and comorbidity (p <0.04). In a logistic regression analysis, the statistically significant predictors were: presence of chronic pulmonary disease, surgery lasting >210 and comorbidity (p <0.009). CONCLUSIONS: There were three major clinical risk factors for pulmonary complications following upper abdominal surgery: chronic pulmonary disease, comorbidity, and surgery lasting more than 210 minutes. Those patients with three risk factors were three times more likely to develop a PPC compared to patients without any of these risk factors (p <0.001). PFT is indicated when there are uncertainties regarding the patient’s pulmonary status.

Incentive spirometry for prevention of postoperative pulmonary complications in upper abdominal surgery

2014 ◽  
Vol 31 ◽  
pp. 79 ◽  
Author(s):  
Junior P. do Nascimento ◽  
F. A. Koga ◽  
N. S.P. Módolo ◽  
S. Andrade ◽  
L. G. Braz ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Pulmonary Complications ◽  
Postoperative Pulmonary Complications ◽  
Upper Abdominal Surgery ◽  
Upper Abdominal ◽  
Incentive Spirometry

Effect of Doxapram on Postoperative Pulmonary Complications After Upper Abdominal Surgery in High-Risk Patients

1991 ◽  
Vol 35 (1) ◽  
pp. 36
Author(s):  
JENS ERIK JANSEN ◽  
ALLAN IBSEN SORENSEN ◽  
OLE NAESH ◽  
CARL JOHAN ERICHSEN ◽  
ANNE PEDERSE
Keyword(s):  
High Risk ◽  
Abdominal Surgery ◽  
Pulmonary Complications ◽  
Postoperative Pulmonary Complications ◽  
High Risk Patients ◽  
Upper Abdominal Surgery ◽  
Risk Patients ◽  
Upper Abdominal
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