Risk assessment for and strategies to reduce perioperative pulmonary complications for patients undergoing noncardiothoracic surgery: A guideline from the American College of Physicians

被引:365
作者
Qaseem, A
Snow, V
Fitterman, N
Hornbake, ER
Lawrence, VA
Smetana, GW
Weiss, K
Owens, DK
机构
[1] Amer Coll Physicians, Philadelphia, PA 19106 USA
[2] N Shore Med Grp, Huntington, NY USA
[3] Univ Texas, Hlth Sci Ctr, San Antonio, TX USA
[4] Beth Israel Deaconess Med Ctr, Boston, MA 02215 USA
[5] Northwestern Univ, Chicago, IL 60611 USA
[6] Hines VA Hosp, Chicago, IL USA
[7] Stanford Univ, Stanford, CA 94305 USA
[8] Palo Alto Hlth Care Syst, Stanford, CA USA
关键词
D O I
10.7326/0003-4819-144-8-200604180-00008
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
strategies to reduce the perioperative pulmonary risk and focuses on atelectasis, pneumonia, and respiratory failure. The target audience for this guideline is general internists or other clinicians involved in perioperative management of surgical patients. The target patient population is all adult persons undergoing noncardiothoracic surgery.Postoperative pulmonary complications play an important role in the risk for patients undergoing noncardiothoracic surgery. strategies to reduce the perioperative pulmonary risk and focuses on atelectasis, pneumonia, and respiratory failure. The target audience for this guideline is general internists or other clinicians involved in perioperative management of surgical patients. The target patient population is all adult persons undergoing noncardiothoracic surgery.
引用
收藏
页码:575 / 580
页数:6
相关论文
共 33 条
[1]   VALUE OF ROUTINE PREOPERATIVE CHEST X-RAYS - A METAANALYSIS [J].
ARCHER, C ;
LEVY, AR ;
MCGREGOR, M .
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 1993, 40 (11) :1022-1027
[2]   Multifactorial risk index for predicting postoperative respiratory failure in men after major noncardiac surgery [J].
Arozullah, AM ;
Daley, J ;
Henderson, WG ;
Khuri, SF .
ANNALS OF SURGERY, 2000, 232 (02) :242-253
[3]   Preoperative smoking habits and postoperative pulmonary complications [J].
Bluman, LG ;
Mosca, L ;
Newman, N ;
Simon, DG .
CHEST, 1998, 113 (04) :883-889
[4]   A METAANALYSIS OF SELECTIVE VERSUS ROUTINE NASOGASTRIC DECOMPRESSION AFTER ELECTIVE LAPAROTOMY [J].
CHEATHAM, ML ;
CHAPMAN, WC ;
KEY, SP ;
SAWYERS, JL .
ANNALS OF SURGERY, 1995, 221 (05) :469-478
[5]   PERIOPERATIVE PARENTERAL-NUTRITION - A METAANALYSIS [J].
DETSKY, AS ;
BAKER, JP ;
OROURKE, K ;
GOEL, V .
ANNALS OF INTERNAL MEDICINE, 1987, 107 (02) :195-203
[6]   OROPHARYNGEAL FLORA AND CHEST INFECTION AFTER UPPER ABDOMINAL-SURGERY [J].
DILWORTH, JP ;
WHITE, RJ ;
BROWN, EM .
THORAX, 1991, 46 (03) :165-167
[7]   OUTCOMES OF OPEN CHOLECYSTECTOMY IN THE ELDERLY - A LONGITUDINAL ANALYSIS OF 21,000 CASES IN THE PRELAPAROSCOPIC ERA [J].
ESCARCE, JJ ;
SHEA, JA ;
CHEN, W ;
QIAN, ZC ;
SCHWARTZ, JS .
SURGERY, 1995, 117 (02) :156-164
[8]   PREDICTION OF POSTOPERATIVE PULMONARY COMPLICATIONS IN ESOPHAGOGASTRIC CANCER-SURGERY [J].
FAN, ST ;
LAU, WY ;
YIP, WC ;
POON, GP ;
YEUNG, C ;
LAM, WK ;
WONG, KK .
BRITISH JOURNAL OF SURGERY, 1987, 74 (05) :408-410
[9]   MULTIVARIATE-ANALYSIS OF RISK-FACTORS FOR POSTOPERATIVE PNEUMONIA [J].
FUJITA, T ;
SAKURAI, K .
AMERICAN JOURNAL OF SURGERY, 1995, 169 (03) :304-307
[10]   RISK-FACTORS FOR POSTOPERATIVE PNEUMONIA [J].
GARIBALDI, RA ;
BRITT, MR ;
COLEMAN, ML ;
READING, JC ;
PACE, NL .
AMERICAN JOURNAL OF MEDICINE, 1981, 70 (03) :677-680