RT Journal Article
SR Electronic
T1 Postoperative pulmonary complications: An update on risk assessment and reduction
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP S60
OP S65
DO 10.3949/ccjm.76.s4.10
VO 76
IS 10 suppl 4
A1 Smetana, Gerald W.
YR 2009
UL http://www.ccjm.org/content/76/10_suppl_4/S60.abstract
AB Postoperative pulmonary complications are common, serious, and expensive. Important predictors of risk are advanced age, poor health as assessed by American Society of Anesthesiologists class, and surgery near the diaphragm. Effective strategies to reduce risk include postoperative lung expansion techniques, preoperative intensive inspiratory muscle training, postoperative thoracic epidural analgesia, selective rather than routine use of nasogastric tubes, and laparoscopic rather than open bariatric surgery.