Preoperative pulmonary evaluation to prevent postoperative pulmonary complications
Abstract Postoperative pulmonary complications (PPCs) arise from a complex interplay of patient, surgical, and anesthesia-related factors. Despite their significant impact, there are currently no standardized guidelines recommending a comprehensive preoperative approach to assessing patients with PP...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Mehmet Eren Tuna [verfasserIn] Metin Akgün [verfasserIn] |
|---|
| Format: |
E-Artikel |
|---|---|
| Sprache: |
Englisch |
| Erschienen: |
2023 |
|---|
| Schlagwörter: |
Postoperative pulmonary complications Preoperative pulmonary evaluation |
|---|
| Übergeordnetes Werk: |
In: Anesthesiology and Perioperative Science ; 1(2023), 4, Seite 14 volume:1 ; year:2023 ; number:4 ; pages:14 |
|---|
| Links: |
|---|
| DOI / URN: |
10.1007/s44254-023-00034-2 |
|---|
| Katalog-ID: |
DOAJ096800925 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | DOAJ096800925 | ||
| 003 | DE-627 | ||
| 005 | 20240413162118.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 240413s2023 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1007/s44254-023-00034-2 |2 doi | |
| 035 | |a (DE-627)DOAJ096800925 | ||
| 035 | |a (DE-599)DOAJ8580161456034fc9910fcb4d98323342 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 050 | 0 | |a RD78.3-87.3 | |
| 100 | 0 | |a Mehmet Eren Tuna |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Preoperative pulmonary evaluation to prevent postoperative pulmonary complications |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 520 | |a Abstract Postoperative pulmonary complications (PPCs) arise from a complex interplay of patient, surgical, and anesthesia-related factors. Despite their significant impact, there are currently no standardized guidelines recommending a comprehensive preoperative approach to assessing patients with PPC risk factors. Preoperative pulmonary evaluation (PPE) plays a pivotal role in identifying underlying patient conditions, undiagnosed diseases and optimal treatments. PPE involves systematic identification of patient, surgical, and anesthesia-related risk factors. Severe PPCs include atelectasis, pneumonia, respiratory failure, pulmonary embolism, and worsening chronic lung disease. Surgical urgency, type, duration, approach of the surgical procedure, and comorbidities influence PPC rates, with cardiac, thoracic, abdominal, and vascular surgeries being particularly vulnerable. Patient-related risk factors encompass non-pulmonary and pulmonary factors. Aging populations increase surgical demand, with advanced age and frailty predicting higher morbidity and mortality risks. Conditions like congestive heart failure, obesity, obstructive sleep apnea, and smoking heighten PPC risks. Asthma, chronic obstructive pulmonary disease, interstitial lung diseases, pulmonary hypertension, previous pulmonary thromboembolism, acute respiratory infections, and COVID-19 impact pulmonary risk profiles. Surgery and anesthesia-related risk factors include the site of surgery, operation time, and emergency surgery. Surgery near the diaphragm elevates PPC risk, while longer operation times correlate with increased PPC incidence. Emergency surgeries pose challenges in risk assessment. Anesthetic techniques influence outcomes, with regional anesthesia often preferable. Neuromuscular blocking agents impact PPCs, and protective ventilation strategies can mitigate complications. As current literature lacks a comprehensive approach to PPE, in this review, we present a comprehensive approach to preoperative pulmonary approach to surgical patients to help in risk stratification, further optimization, as well as shared decision making between the surgeon and the patients and their family prior to consenting for a major surgical procedure. Graphical Abstract | ||
| 650 | 4 | |a Postoperative pulmonary complications | |
| 650 | 4 | |a Perioperative care | |
| 650 | 4 | |a Preoperative procedures | |
| 650 | 4 | |a Preoperative pulmonary evaluation | |
| 650 | 4 | |a Preoperative pulmonary risk assessment | |
| 650 | 4 | |a Risk factors | |
| 653 | 0 | |a Anesthesiology | |
| 700 | 0 | |a Metin Akgün |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i In |t Anesthesiology and Perioperative Science |g 1(2023), 4, Seite 14 |
| 773 | 1 | 8 | |g volume:1 |g year:2023 |g number:4 |g pages:14 |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s44254-023-00034-2 |z kostenfrei |
| 856 | 4 | 0 | |u https://doaj.org/article/8580161456034fc9910fcb4d98323342 |z kostenfrei |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s44254-023-00034-2 |z kostenfrei |
| 856 | 4 | 2 | |u https://doaj.org/toc/2731-8389 |y Journal toc |z kostenfrei |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a SYSFLAG_A | ||
| 912 | |a GBV_DOAJ | ||
| 951 | |a AR | ||
| 952 | |d 1 |j 2023 |e 4 |h 14 | ||
| author_variant |
m e t met m a ma |
|---|---|
| matchkey_str |
mehmeterentunametinakgn:2023----:roeaieumnreautotpeetotprtvp |
| hierarchy_sort_str |
2023 |
| callnumber-subject-code |
RD |
| publishDate |
2023 |
| allfields |
10.1007/s44254-023-00034-2 doi (DE-627)DOAJ096800925 (DE-599)DOAJ8580161456034fc9910fcb4d98323342 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Mehmet Eren Tuna verfasserin aut Preoperative pulmonary evaluation to prevent postoperative pulmonary complications 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Postoperative pulmonary complications (PPCs) arise from a complex interplay of patient, surgical, and anesthesia-related factors. Despite their significant impact, there are currently no standardized guidelines recommending a comprehensive preoperative approach to assessing patients with PPC risk factors. Preoperative pulmonary evaluation (PPE) plays a pivotal role in identifying underlying patient conditions, undiagnosed diseases and optimal treatments. PPE involves systematic identification of patient, surgical, and anesthesia-related risk factors. Severe PPCs include atelectasis, pneumonia, respiratory failure, pulmonary embolism, and worsening chronic lung disease. Surgical urgency, type, duration, approach of the surgical procedure, and comorbidities influence PPC rates, with cardiac, thoracic, abdominal, and vascular surgeries being particularly vulnerable. Patient-related risk factors encompass non-pulmonary and pulmonary factors. Aging populations increase surgical demand, with advanced age and frailty predicting higher morbidity and mortality risks. Conditions like congestive heart failure, obesity, obstructive sleep apnea, and smoking heighten PPC risks. Asthma, chronic obstructive pulmonary disease, interstitial lung diseases, pulmonary hypertension, previous pulmonary thromboembolism, acute respiratory infections, and COVID-19 impact pulmonary risk profiles. Surgery and anesthesia-related risk factors include the site of surgery, operation time, and emergency surgery. Surgery near the diaphragm elevates PPC risk, while longer operation times correlate with increased PPC incidence. Emergency surgeries pose challenges in risk assessment. Anesthetic techniques influence outcomes, with regional anesthesia often preferable. Neuromuscular blocking agents impact PPCs, and protective ventilation strategies can mitigate complications. As current literature lacks a comprehensive approach to PPE, in this review, we present a comprehensive approach to preoperative pulmonary approach to surgical patients to help in risk stratification, further optimization, as well as shared decision making between the surgeon and the patients and their family prior to consenting for a major surgical procedure. Graphical Abstract Postoperative pulmonary complications Perioperative care Preoperative procedures Preoperative pulmonary evaluation Preoperative pulmonary risk assessment Risk factors Anesthesiology Metin Akgün verfasserin aut In Anesthesiology and Perioperative Science 1(2023), 4, Seite 14 volume:1 year:2023 number:4 pages:14 https://doi.org/10.1007/s44254-023-00034-2 kostenfrei https://doaj.org/article/8580161456034fc9910fcb4d98323342 kostenfrei https://doi.org/10.1007/s44254-023-00034-2 kostenfrei https://doaj.org/toc/2731-8389 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 1 2023 4 14 |
| spelling |
10.1007/s44254-023-00034-2 doi (DE-627)DOAJ096800925 (DE-599)DOAJ8580161456034fc9910fcb4d98323342 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Mehmet Eren Tuna verfasserin aut Preoperative pulmonary evaluation to prevent postoperative pulmonary complications 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Postoperative pulmonary complications (PPCs) arise from a complex interplay of patient, surgical, and anesthesia-related factors. Despite their significant impact, there are currently no standardized guidelines recommending a comprehensive preoperative approach to assessing patients with PPC risk factors. Preoperative pulmonary evaluation (PPE) plays a pivotal role in identifying underlying patient conditions, undiagnosed diseases and optimal treatments. PPE involves systematic identification of patient, surgical, and anesthesia-related risk factors. Severe PPCs include atelectasis, pneumonia, respiratory failure, pulmonary embolism, and worsening chronic lung disease. Surgical urgency, type, duration, approach of the surgical procedure, and comorbidities influence PPC rates, with cardiac, thoracic, abdominal, and vascular surgeries being particularly vulnerable. Patient-related risk factors encompass non-pulmonary and pulmonary factors. Aging populations increase surgical demand, with advanced age and frailty predicting higher morbidity and mortality risks. Conditions like congestive heart failure, obesity, obstructive sleep apnea, and smoking heighten PPC risks. Asthma, chronic obstructive pulmonary disease, interstitial lung diseases, pulmonary hypertension, previous pulmonary thromboembolism, acute respiratory infections, and COVID-19 impact pulmonary risk profiles. Surgery and anesthesia-related risk factors include the site of surgery, operation time, and emergency surgery. Surgery near the diaphragm elevates PPC risk, while longer operation times correlate with increased PPC incidence. Emergency surgeries pose challenges in risk assessment. Anesthetic techniques influence outcomes, with regional anesthesia often preferable. Neuromuscular blocking agents impact PPCs, and protective ventilation strategies can mitigate complications. As current literature lacks a comprehensive approach to PPE, in this review, we present a comprehensive approach to preoperative pulmonary approach to surgical patients to help in risk stratification, further optimization, as well as shared decision making between the surgeon and the patients and their family prior to consenting for a major surgical procedure. Graphical Abstract Postoperative pulmonary complications Perioperative care Preoperative procedures Preoperative pulmonary evaluation Preoperative pulmonary risk assessment Risk factors Anesthesiology Metin Akgün verfasserin aut In Anesthesiology and Perioperative Science 1(2023), 4, Seite 14 volume:1 year:2023 number:4 pages:14 https://doi.org/10.1007/s44254-023-00034-2 kostenfrei https://doaj.org/article/8580161456034fc9910fcb4d98323342 kostenfrei https://doi.org/10.1007/s44254-023-00034-2 kostenfrei https://doaj.org/toc/2731-8389 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 1 2023 4 14 |
| allfields_unstemmed |
10.1007/s44254-023-00034-2 doi (DE-627)DOAJ096800925 (DE-599)DOAJ8580161456034fc9910fcb4d98323342 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Mehmet Eren Tuna verfasserin aut Preoperative pulmonary evaluation to prevent postoperative pulmonary complications 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Postoperative pulmonary complications (PPCs) arise from a complex interplay of patient, surgical, and anesthesia-related factors. Despite their significant impact, there are currently no standardized guidelines recommending a comprehensive preoperative approach to assessing patients with PPC risk factors. Preoperative pulmonary evaluation (PPE) plays a pivotal role in identifying underlying patient conditions, undiagnosed diseases and optimal treatments. PPE involves systematic identification of patient, surgical, and anesthesia-related risk factors. Severe PPCs include atelectasis, pneumonia, respiratory failure, pulmonary embolism, and worsening chronic lung disease. Surgical urgency, type, duration, approach of the surgical procedure, and comorbidities influence PPC rates, with cardiac, thoracic, abdominal, and vascular surgeries being particularly vulnerable. Patient-related risk factors encompass non-pulmonary and pulmonary factors. Aging populations increase surgical demand, with advanced age and frailty predicting higher morbidity and mortality risks. Conditions like congestive heart failure, obesity, obstructive sleep apnea, and smoking heighten PPC risks. Asthma, chronic obstructive pulmonary disease, interstitial lung diseases, pulmonary hypertension, previous pulmonary thromboembolism, acute respiratory infections, and COVID-19 impact pulmonary risk profiles. Surgery and anesthesia-related risk factors include the site of surgery, operation time, and emergency surgery. Surgery near the diaphragm elevates PPC risk, while longer operation times correlate with increased PPC incidence. Emergency surgeries pose challenges in risk assessment. Anesthetic techniques influence outcomes, with regional anesthesia often preferable. Neuromuscular blocking agents impact PPCs, and protective ventilation strategies can mitigate complications. As current literature lacks a comprehensive approach to PPE, in this review, we present a comprehensive approach to preoperative pulmonary approach to surgical patients to help in risk stratification, further optimization, as well as shared decision making between the surgeon and the patients and their family prior to consenting for a major surgical procedure. Graphical Abstract Postoperative pulmonary complications Perioperative care Preoperative procedures Preoperative pulmonary evaluation Preoperative pulmonary risk assessment Risk factors Anesthesiology Metin Akgün verfasserin aut In Anesthesiology and Perioperative Science 1(2023), 4, Seite 14 volume:1 year:2023 number:4 pages:14 https://doi.org/10.1007/s44254-023-00034-2 kostenfrei https://doaj.org/article/8580161456034fc9910fcb4d98323342 kostenfrei https://doi.org/10.1007/s44254-023-00034-2 kostenfrei https://doaj.org/toc/2731-8389 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 1 2023 4 14 |
| allfieldsGer |
10.1007/s44254-023-00034-2 doi (DE-627)DOAJ096800925 (DE-599)DOAJ8580161456034fc9910fcb4d98323342 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Mehmet Eren Tuna verfasserin aut Preoperative pulmonary evaluation to prevent postoperative pulmonary complications 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Postoperative pulmonary complications (PPCs) arise from a complex interplay of patient, surgical, and anesthesia-related factors. Despite their significant impact, there are currently no standardized guidelines recommending a comprehensive preoperative approach to assessing patients with PPC risk factors. Preoperative pulmonary evaluation (PPE) plays a pivotal role in identifying underlying patient conditions, undiagnosed diseases and optimal treatments. PPE involves systematic identification of patient, surgical, and anesthesia-related risk factors. Severe PPCs include atelectasis, pneumonia, respiratory failure, pulmonary embolism, and worsening chronic lung disease. Surgical urgency, type, duration, approach of the surgical procedure, and comorbidities influence PPC rates, with cardiac, thoracic, abdominal, and vascular surgeries being particularly vulnerable. Patient-related risk factors encompass non-pulmonary and pulmonary factors. Aging populations increase surgical demand, with advanced age and frailty predicting higher morbidity and mortality risks. Conditions like congestive heart failure, obesity, obstructive sleep apnea, and smoking heighten PPC risks. Asthma, chronic obstructive pulmonary disease, interstitial lung diseases, pulmonary hypertension, previous pulmonary thromboembolism, acute respiratory infections, and COVID-19 impact pulmonary risk profiles. Surgery and anesthesia-related risk factors include the site of surgery, operation time, and emergency surgery. Surgery near the diaphragm elevates PPC risk, while longer operation times correlate with increased PPC incidence. Emergency surgeries pose challenges in risk assessment. Anesthetic techniques influence outcomes, with regional anesthesia often preferable. Neuromuscular blocking agents impact PPCs, and protective ventilation strategies can mitigate complications. As current literature lacks a comprehensive approach to PPE, in this review, we present a comprehensive approach to preoperative pulmonary approach to surgical patients to help in risk stratification, further optimization, as well as shared decision making between the surgeon and the patients and their family prior to consenting for a major surgical procedure. Graphical Abstract Postoperative pulmonary complications Perioperative care Preoperative procedures Preoperative pulmonary evaluation Preoperative pulmonary risk assessment Risk factors Anesthesiology Metin Akgün verfasserin aut In Anesthesiology and Perioperative Science 1(2023), 4, Seite 14 volume:1 year:2023 number:4 pages:14 https://doi.org/10.1007/s44254-023-00034-2 kostenfrei https://doaj.org/article/8580161456034fc9910fcb4d98323342 kostenfrei https://doi.org/10.1007/s44254-023-00034-2 kostenfrei https://doaj.org/toc/2731-8389 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 1 2023 4 14 |
| allfieldsSound |
10.1007/s44254-023-00034-2 doi (DE-627)DOAJ096800925 (DE-599)DOAJ8580161456034fc9910fcb4d98323342 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Mehmet Eren Tuna verfasserin aut Preoperative pulmonary evaluation to prevent postoperative pulmonary complications 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Postoperative pulmonary complications (PPCs) arise from a complex interplay of patient, surgical, and anesthesia-related factors. Despite their significant impact, there are currently no standardized guidelines recommending a comprehensive preoperative approach to assessing patients with PPC risk factors. Preoperative pulmonary evaluation (PPE) plays a pivotal role in identifying underlying patient conditions, undiagnosed diseases and optimal treatments. PPE involves systematic identification of patient, surgical, and anesthesia-related risk factors. Severe PPCs include atelectasis, pneumonia, respiratory failure, pulmonary embolism, and worsening chronic lung disease. Surgical urgency, type, duration, approach of the surgical procedure, and comorbidities influence PPC rates, with cardiac, thoracic, abdominal, and vascular surgeries being particularly vulnerable. Patient-related risk factors encompass non-pulmonary and pulmonary factors. Aging populations increase surgical demand, with advanced age and frailty predicting higher morbidity and mortality risks. Conditions like congestive heart failure, obesity, obstructive sleep apnea, and smoking heighten PPC risks. Asthma, chronic obstructive pulmonary disease, interstitial lung diseases, pulmonary hypertension, previous pulmonary thromboembolism, acute respiratory infections, and COVID-19 impact pulmonary risk profiles. Surgery and anesthesia-related risk factors include the site of surgery, operation time, and emergency surgery. Surgery near the diaphragm elevates PPC risk, while longer operation times correlate with increased PPC incidence. Emergency surgeries pose challenges in risk assessment. Anesthetic techniques influence outcomes, with regional anesthesia often preferable. Neuromuscular blocking agents impact PPCs, and protective ventilation strategies can mitigate complications. As current literature lacks a comprehensive approach to PPE, in this review, we present a comprehensive approach to preoperative pulmonary approach to surgical patients to help in risk stratification, further optimization, as well as shared decision making between the surgeon and the patients and their family prior to consenting for a major surgical procedure. Graphical Abstract Postoperative pulmonary complications Perioperative care Preoperative procedures Preoperative pulmonary evaluation Preoperative pulmonary risk assessment Risk factors Anesthesiology Metin Akgün verfasserin aut In Anesthesiology and Perioperative Science 1(2023), 4, Seite 14 volume:1 year:2023 number:4 pages:14 https://doi.org/10.1007/s44254-023-00034-2 kostenfrei https://doaj.org/article/8580161456034fc9910fcb4d98323342 kostenfrei https://doi.org/10.1007/s44254-023-00034-2 kostenfrei https://doaj.org/toc/2731-8389 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 1 2023 4 14 |
| language |
English |
| source |
In Anesthesiology and Perioperative Science 1(2023), 4, Seite 14 volume:1 year:2023 number:4 pages:14 |
| sourceStr |
In Anesthesiology and Perioperative Science 1(2023), 4, Seite 14 volume:1 year:2023 number:4 pages:14 |
| format_phy_str_mv |
Article |
| institution |
findex.gbv.de |
| topic_facet |
Postoperative pulmonary complications Perioperative care Preoperative procedures Preoperative pulmonary evaluation Preoperative pulmonary risk assessment Risk factors Anesthesiology |
| isfreeaccess_bool |
true |
| container_title |
Anesthesiology and Perioperative Science |
| authorswithroles_txt_mv |
Mehmet Eren Tuna @@aut@@ Metin Akgün @@aut@@ |
| publishDateDaySort_date |
2023-01-01T00:00:00Z |
| id |
DOAJ096800925 |
| language_de |
englisch |
| fullrecord |
<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000naa a22002652 4500</leader><controlfield tag="001">DOAJ096800925</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20240413162118.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">240413s2023 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1007/s44254-023-00034-2</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ096800925</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJ8580161456034fc9910fcb4d98323342</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RD78.3-87.3</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Mehmet Eren Tuna</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Preoperative pulmonary evaluation to prevent postoperative pulmonary complications</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2023</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Abstract Postoperative pulmonary complications (PPCs) arise from a complex interplay of patient, surgical, and anesthesia-related factors. Despite their significant impact, there are currently no standardized guidelines recommending a comprehensive preoperative approach to assessing patients with PPC risk factors. Preoperative pulmonary evaluation (PPE) plays a pivotal role in identifying underlying patient conditions, undiagnosed diseases and optimal treatments. PPE involves systematic identification of patient, surgical, and anesthesia-related risk factors. Severe PPCs include atelectasis, pneumonia, respiratory failure, pulmonary embolism, and worsening chronic lung disease. Surgical urgency, type, duration, approach of the surgical procedure, and comorbidities influence PPC rates, with cardiac, thoracic, abdominal, and vascular surgeries being particularly vulnerable. Patient-related risk factors encompass non-pulmonary and pulmonary factors. Aging populations increase surgical demand, with advanced age and frailty predicting higher morbidity and mortality risks. Conditions like congestive heart failure, obesity, obstructive sleep apnea, and smoking heighten PPC risks. Asthma, chronic obstructive pulmonary disease, interstitial lung diseases, pulmonary hypertension, previous pulmonary thromboembolism, acute respiratory infections, and COVID-19 impact pulmonary risk profiles. Surgery and anesthesia-related risk factors include the site of surgery, operation time, and emergency surgery. Surgery near the diaphragm elevates PPC risk, while longer operation times correlate with increased PPC incidence. Emergency surgeries pose challenges in risk assessment. Anesthetic techniques influence outcomes, with regional anesthesia often preferable. Neuromuscular blocking agents impact PPCs, and protective ventilation strategies can mitigate complications. As current literature lacks a comprehensive approach to PPE, in this review, we present a comprehensive approach to preoperative pulmonary approach to surgical patients to help in risk stratification, further optimization, as well as shared decision making between the surgeon and the patients and their family prior to consenting for a major surgical procedure. Graphical Abstract</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Postoperative pulmonary complications</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Perioperative care</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Preoperative procedures</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Preoperative pulmonary evaluation</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Preoperative pulmonary risk assessment</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Risk factors</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Anesthesiology</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Metin Akgün</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">In</subfield><subfield code="t">Anesthesiology and Perioperative Science</subfield><subfield code="g">1(2023), 4, Seite 14</subfield></datafield><datafield tag="773" ind1="1" ind2="8"><subfield code="g">volume:1</subfield><subfield code="g">year:2023</subfield><subfield code="g">number:4</subfield><subfield code="g">pages:14</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doi.org/10.1007/s44254-023-00034-2</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doaj.org/article/8580161456034fc9910fcb4d98323342</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doi.org/10.1007/s44254-023-00034-2</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="u">https://doaj.org/toc/2731-8389</subfield><subfield code="y">Journal toc</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_USEFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SYSFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_DOAJ</subfield></datafield><datafield tag="951" ind1=" " ind2=" "><subfield code="a">AR</subfield></datafield><datafield tag="952" ind1=" " ind2=" "><subfield code="d">1</subfield><subfield code="j">2023</subfield><subfield code="e">4</subfield><subfield code="h">14</subfield></datafield></record></collection>
|
| callnumber-first |
R - Medicine |
| author |
Mehmet Eren Tuna |
| spellingShingle |
Mehmet Eren Tuna misc RD78.3-87.3 misc Postoperative pulmonary complications misc Perioperative care misc Preoperative procedures misc Preoperative pulmonary evaluation misc Preoperative pulmonary risk assessment misc Risk factors misc Anesthesiology Preoperative pulmonary evaluation to prevent postoperative pulmonary complications |
| authorStr |
Mehmet Eren Tuna |
| format |
electronic Article |
| delete_txt_mv |
keep |
| author_role |
aut aut |
| collection |
DOAJ |
| remote_str |
true |
| callnumber-label |
RD78 |
| illustrated |
Not Illustrated |
| topic_title |
RD78.3-87.3 Preoperative pulmonary evaluation to prevent postoperative pulmonary complications Postoperative pulmonary complications Perioperative care Preoperative procedures Preoperative pulmonary evaluation Preoperative pulmonary risk assessment Risk factors |
| topic |
misc RD78.3-87.3 misc Postoperative pulmonary complications misc Perioperative care misc Preoperative procedures misc Preoperative pulmonary evaluation misc Preoperative pulmonary risk assessment misc Risk factors misc Anesthesiology |
| topic_unstemmed |
misc RD78.3-87.3 misc Postoperative pulmonary complications misc Perioperative care misc Preoperative procedures misc Preoperative pulmonary evaluation misc Preoperative pulmonary risk assessment misc Risk factors misc Anesthesiology |
| topic_browse |
misc RD78.3-87.3 misc Postoperative pulmonary complications misc Perioperative care misc Preoperative procedures misc Preoperative pulmonary evaluation misc Preoperative pulmonary risk assessment misc Risk factors misc Anesthesiology |
| format_facet |
Elektronische Aufsätze Aufsätze Elektronische Ressource |
| format_main_str_mv |
Text Zeitschrift/Artikel |
| carriertype_str_mv |
cr |
| hierarchy_parent_title |
Anesthesiology and Perioperative Science |
| hierarchy_top_title |
Anesthesiology and Perioperative Science |
| isfreeaccess_txt |
true |
| title |
Preoperative pulmonary evaluation to prevent postoperative pulmonary complications |
| ctrlnum |
(DE-627)DOAJ096800925 (DE-599)DOAJ8580161456034fc9910fcb4d98323342 |
| title_full |
Preoperative pulmonary evaluation to prevent postoperative pulmonary complications |
| author_sort |
Mehmet Eren Tuna |
| journal |
Anesthesiology and Perioperative Science |
| journalStr |
Anesthesiology and Perioperative Science |
| callnumber-first-code |
R |
| lang_code |
eng |
| isOA_bool |
true |
| recordtype |
marc |
| publishDateSort |
2023 |
| contenttype_str_mv |
txt |
| container_start_page |
14 |
| author_browse |
Mehmet Eren Tuna Metin Akgün |
| container_volume |
1 |
| class |
RD78.3-87.3 |
| format_se |
Elektronische Aufsätze |
| author-letter |
Mehmet Eren Tuna |
| doi_str_mv |
10.1007/s44254-023-00034-2 |
| author2-role |
verfasserin |
| title_sort |
preoperative pulmonary evaluation to prevent postoperative pulmonary complications |
| callnumber |
RD78.3-87.3 |
| title_auth |
Preoperative pulmonary evaluation to prevent postoperative pulmonary complications |
| abstract |
Abstract Postoperative pulmonary complications (PPCs) arise from a complex interplay of patient, surgical, and anesthesia-related factors. Despite their significant impact, there are currently no standardized guidelines recommending a comprehensive preoperative approach to assessing patients with PPC risk factors. Preoperative pulmonary evaluation (PPE) plays a pivotal role in identifying underlying patient conditions, undiagnosed diseases and optimal treatments. PPE involves systematic identification of patient, surgical, and anesthesia-related risk factors. Severe PPCs include atelectasis, pneumonia, respiratory failure, pulmonary embolism, and worsening chronic lung disease. Surgical urgency, type, duration, approach of the surgical procedure, and comorbidities influence PPC rates, with cardiac, thoracic, abdominal, and vascular surgeries being particularly vulnerable. Patient-related risk factors encompass non-pulmonary and pulmonary factors. Aging populations increase surgical demand, with advanced age and frailty predicting higher morbidity and mortality risks. Conditions like congestive heart failure, obesity, obstructive sleep apnea, and smoking heighten PPC risks. Asthma, chronic obstructive pulmonary disease, interstitial lung diseases, pulmonary hypertension, previous pulmonary thromboembolism, acute respiratory infections, and COVID-19 impact pulmonary risk profiles. Surgery and anesthesia-related risk factors include the site of surgery, operation time, and emergency surgery. Surgery near the diaphragm elevates PPC risk, while longer operation times correlate with increased PPC incidence. Emergency surgeries pose challenges in risk assessment. Anesthetic techniques influence outcomes, with regional anesthesia often preferable. Neuromuscular blocking agents impact PPCs, and protective ventilation strategies can mitigate complications. As current literature lacks a comprehensive approach to PPE, in this review, we present a comprehensive approach to preoperative pulmonary approach to surgical patients to help in risk stratification, further optimization, as well as shared decision making between the surgeon and the patients and their family prior to consenting for a major surgical procedure. Graphical Abstract |
| abstractGer |
Abstract Postoperative pulmonary complications (PPCs) arise from a complex interplay of patient, surgical, and anesthesia-related factors. Despite their significant impact, there are currently no standardized guidelines recommending a comprehensive preoperative approach to assessing patients with PPC risk factors. Preoperative pulmonary evaluation (PPE) plays a pivotal role in identifying underlying patient conditions, undiagnosed diseases and optimal treatments. PPE involves systematic identification of patient, surgical, and anesthesia-related risk factors. Severe PPCs include atelectasis, pneumonia, respiratory failure, pulmonary embolism, and worsening chronic lung disease. Surgical urgency, type, duration, approach of the surgical procedure, and comorbidities influence PPC rates, with cardiac, thoracic, abdominal, and vascular surgeries being particularly vulnerable. Patient-related risk factors encompass non-pulmonary and pulmonary factors. Aging populations increase surgical demand, with advanced age and frailty predicting higher morbidity and mortality risks. Conditions like congestive heart failure, obesity, obstructive sleep apnea, and smoking heighten PPC risks. Asthma, chronic obstructive pulmonary disease, interstitial lung diseases, pulmonary hypertension, previous pulmonary thromboembolism, acute respiratory infections, and COVID-19 impact pulmonary risk profiles. Surgery and anesthesia-related risk factors include the site of surgery, operation time, and emergency surgery. Surgery near the diaphragm elevates PPC risk, while longer operation times correlate with increased PPC incidence. Emergency surgeries pose challenges in risk assessment. Anesthetic techniques influence outcomes, with regional anesthesia often preferable. Neuromuscular blocking agents impact PPCs, and protective ventilation strategies can mitigate complications. As current literature lacks a comprehensive approach to PPE, in this review, we present a comprehensive approach to preoperative pulmonary approach to surgical patients to help in risk stratification, further optimization, as well as shared decision making between the surgeon and the patients and their family prior to consenting for a major surgical procedure. Graphical Abstract |
| abstract_unstemmed |
Abstract Postoperative pulmonary complications (PPCs) arise from a complex interplay of patient, surgical, and anesthesia-related factors. Despite their significant impact, there are currently no standardized guidelines recommending a comprehensive preoperative approach to assessing patients with PPC risk factors. Preoperative pulmonary evaluation (PPE) plays a pivotal role in identifying underlying patient conditions, undiagnosed diseases and optimal treatments. PPE involves systematic identification of patient, surgical, and anesthesia-related risk factors. Severe PPCs include atelectasis, pneumonia, respiratory failure, pulmonary embolism, and worsening chronic lung disease. Surgical urgency, type, duration, approach of the surgical procedure, and comorbidities influence PPC rates, with cardiac, thoracic, abdominal, and vascular surgeries being particularly vulnerable. Patient-related risk factors encompass non-pulmonary and pulmonary factors. Aging populations increase surgical demand, with advanced age and frailty predicting higher morbidity and mortality risks. Conditions like congestive heart failure, obesity, obstructive sleep apnea, and smoking heighten PPC risks. Asthma, chronic obstructive pulmonary disease, interstitial lung diseases, pulmonary hypertension, previous pulmonary thromboembolism, acute respiratory infections, and COVID-19 impact pulmonary risk profiles. Surgery and anesthesia-related risk factors include the site of surgery, operation time, and emergency surgery. Surgery near the diaphragm elevates PPC risk, while longer operation times correlate with increased PPC incidence. Emergency surgeries pose challenges in risk assessment. Anesthetic techniques influence outcomes, with regional anesthesia often preferable. Neuromuscular blocking agents impact PPCs, and protective ventilation strategies can mitigate complications. As current literature lacks a comprehensive approach to PPE, in this review, we present a comprehensive approach to preoperative pulmonary approach to surgical patients to help in risk stratification, further optimization, as well as shared decision making between the surgeon and the patients and their family prior to consenting for a major surgical procedure. Graphical Abstract |
| collection_details |
GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ |
| container_issue |
4 |
| title_short |
Preoperative pulmonary evaluation to prevent postoperative pulmonary complications |
| url |
https://doi.org/10.1007/s44254-023-00034-2 https://doaj.org/article/8580161456034fc9910fcb4d98323342 https://doaj.org/toc/2731-8389 |
| remote_bool |
true |
| author2 |
Metin Akgün |
| author2Str |
Metin Akgün |
| callnumber-subject |
RD - Surgery |
| mediatype_str_mv |
c |
| isOA_txt |
true |
| hochschulschrift_bool |
false |
| doi_str |
10.1007/s44254-023-00034-2 |
| callnumber-a |
RD78.3-87.3 |
| up_date |
2024-07-03T22:10:30.577Z |
| _version_ |
1803597518576025600 |
| fullrecord_marcxml |
<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000naa a22002652 4500</leader><controlfield tag="001">DOAJ096800925</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20240413162118.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">240413s2023 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1007/s44254-023-00034-2</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ096800925</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJ8580161456034fc9910fcb4d98323342</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RD78.3-87.3</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Mehmet Eren Tuna</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Preoperative pulmonary evaluation to prevent postoperative pulmonary complications</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2023</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Abstract Postoperative pulmonary complications (PPCs) arise from a complex interplay of patient, surgical, and anesthesia-related factors. Despite their significant impact, there are currently no standardized guidelines recommending a comprehensive preoperative approach to assessing patients with PPC risk factors. Preoperative pulmonary evaluation (PPE) plays a pivotal role in identifying underlying patient conditions, undiagnosed diseases and optimal treatments. PPE involves systematic identification of patient, surgical, and anesthesia-related risk factors. Severe PPCs include atelectasis, pneumonia, respiratory failure, pulmonary embolism, and worsening chronic lung disease. Surgical urgency, type, duration, approach of the surgical procedure, and comorbidities influence PPC rates, with cardiac, thoracic, abdominal, and vascular surgeries being particularly vulnerable. Patient-related risk factors encompass non-pulmonary and pulmonary factors. Aging populations increase surgical demand, with advanced age and frailty predicting higher morbidity and mortality risks. Conditions like congestive heart failure, obesity, obstructive sleep apnea, and smoking heighten PPC risks. Asthma, chronic obstructive pulmonary disease, interstitial lung diseases, pulmonary hypertension, previous pulmonary thromboembolism, acute respiratory infections, and COVID-19 impact pulmonary risk profiles. Surgery and anesthesia-related risk factors include the site of surgery, operation time, and emergency surgery. Surgery near the diaphragm elevates PPC risk, while longer operation times correlate with increased PPC incidence. Emergency surgeries pose challenges in risk assessment. Anesthetic techniques influence outcomes, with regional anesthesia often preferable. Neuromuscular blocking agents impact PPCs, and protective ventilation strategies can mitigate complications. As current literature lacks a comprehensive approach to PPE, in this review, we present a comprehensive approach to preoperative pulmonary approach to surgical patients to help in risk stratification, further optimization, as well as shared decision making between the surgeon and the patients and their family prior to consenting for a major surgical procedure. Graphical Abstract</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Postoperative pulmonary complications</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Perioperative care</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Preoperative procedures</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Preoperative pulmonary evaluation</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Preoperative pulmonary risk assessment</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Risk factors</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Anesthesiology</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Metin Akgün</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">In</subfield><subfield code="t">Anesthesiology and Perioperative Science</subfield><subfield code="g">1(2023), 4, Seite 14</subfield></datafield><datafield tag="773" ind1="1" ind2="8"><subfield code="g">volume:1</subfield><subfield code="g">year:2023</subfield><subfield code="g">number:4</subfield><subfield code="g">pages:14</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doi.org/10.1007/s44254-023-00034-2</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doaj.org/article/8580161456034fc9910fcb4d98323342</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doi.org/10.1007/s44254-023-00034-2</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="u">https://doaj.org/toc/2731-8389</subfield><subfield code="y">Journal toc</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_USEFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SYSFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_DOAJ</subfield></datafield><datafield tag="951" ind1=" " ind2=" "><subfield code="a">AR</subfield></datafield><datafield tag="952" ind1=" " ind2=" "><subfield code="d">1</subfield><subfield code="j">2023</subfield><subfield code="e">4</subfield><subfield code="h">14</subfield></datafield></record></collection>
|
| score |
7.4020767 |