Chest ACCP Member Benefits
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
doi:10.1378/chest.07-0347
(Chest. 2007; 132:1637-1645)
© 2007 American College of Chest Physicians
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Bapoje, S. R.
Right arrow Articles by Albert, R. K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Bapoje, S. R.
Right arrow Articles by Albert, R. K.

Preoperative Evaluation of the Patient With Pulmonary Disease*

Srinivas R. Bapoje, MD, MPH; Julia Feliz Whitaker, MD; Tara Schulz, MD; Eugene S. Chu, MD and Richard K. Albert, MD, FCCP

* From the Division of Hospital Medicine (Drs. Bapoje, Schulz, and Chu) and the Department of Medicine (Dr. Albert), Denver Health Medical Center, Denver, CO; and the Division of Pulmonary and Critical Care Medicine (Dr. Whitaker), University of Utah Health Sciences Center, Salt Lake City, UT.

Correspondence to: Srinivas R. Bapoje, MD, MPH, Department of Medicine, Denver Health Medical Center, 660 Bannock St, MC 4000, Denver, CO 80204; e-mail: srinivas.bapoje{at}dhha.org

Abstract

Preoperative pulmonary evaluation is important in the management of patients with lung disease who are undergoing elective cardiothoracic or noncardiothoracic surgery. In some instances, preoperative pulmonary evaluations may also contribute to the management of patients being considered for urgent surgery. The incidence of postoperative pulmonary complications (PPCs) is high and is associated with substantial morbidity and mortality, and prolonged hospital stays. Perioperative pulmonary complications in patients undergoing elective noncardiothoracic surgery can be more accurately predicted than in patients undergoing elective cardiothoracic surgery. Effective strategies to prevent complications in the postoperative period are few. Incentive spirometry and continuous positive airway pressure are the only modalities of proven benefit. Identifying patients who are at risk for the development of PPCs and managing their underlying modifiable risk factors aggressively prior to surgery is essential.

Key Words: elective surgical procedures • lung diseases • postoperative care • postoperative complications • preoperative care






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2007 by the American College of Chest Physicians.