scholarly journals Postoperative pulmonary complication after neurosurgery: A case of unilateral lung collapse

2016 ◽  
Vol 10 (1) ◽  
pp. 154
Author(s):  
Shilpi Misra
Keyword(s):  
Pulmonary Complication ◽  
Postoperative Pulmonary Complication ◽  
Lung Collapse

PEDIATRIC RISK STRATIFICATION METHOD (PEDIARISM) FOR PREDICTING POSTOPERATIVE PULMONARY COMPLICATION FOR CARDIOTHORACIC SURGERY

CHEST Journal ◽  
2009 ◽  
Vol 136 (4) ◽  
pp. 35S
Author(s):  
Beverly D. Delacruz ◽  
Teresita S. DE Guia ◽  
Nerissa A. DE Leon ◽  
Milagros S. Bautista ◽  
Dulce R. SY
Keyword(s):  
Risk Stratification ◽  
Pulmonary Complication ◽  
Cardiothoracic Surgery ◽  
Postoperative Pulmonary Complication ◽  
Stratification Method

scholarly journals Can preoperative serum lactate dehydrogenase levels predict postoperative pulmonary complication following an emergency abdominal surgery? An observational study

2019 ◽  
Vol 7 (1) ◽  
pp. 248
Author(s):  
Ananthakumar Murugavel ◽  
Vishnu Kanth ◽  
Elamurugan Thirthar Palanivelu
Keyword(s):  
Lactate Dehydrogenase ◽  
Observational Study ◽  
Serum Albumin ◽  
Total Protein ◽  
Pulmonary Complication ◽  
Gastrointestinal Surgery ◽  
Pulmonary Complications ◽  
Serum Lactate Dehydrogenase ◽  
Postoperative Pulmonary Complication ◽  
Upper Abdomen

Background: Postoperative pulmonary complications (PPC) are one of the commonest complications following gastrointestinal surgery. They lead to increase in morbidity and mortality. Lactate dehydrogenase (LDH) is an enzyme present in essentially all major organ systems. Studies have shown measurement of its activity levels and its isoenzyme pattern may provide additional information about lung and pulmonary endothelial cell injury. The objectives of the present study were to study the levels of serum LDH in patients with and without post-operative pulmonary complications following emergency abdominal surgery.Methods: The study was designed as an observational study. All patients ≥18 years of age undergoing gastrointestinal surgery, excluding those with prior lung pathology were included in the study. The demographic parameters, clinical parameters and laboratory parameters along with details of pulmonary complications were recorded. Serum LDH level were assessed on admission. Levels of serum LDH were compared between patients with and without post-operative pulmonary infections and were assessed for significance.Results: Incidence of PPC was 28% in our study. There was significant difference in the mean age in the group with and without PPC (p=<0.001). Smoking habit, serum albumin total protein and upper abdomen incision surgery were associated with increased incidence of PPC. Pleural effusion was the commonest PPC seen in patients. Serum LDH was not significantly associated with the incidence of PPC.Conclusions: Pre-operative serum LDH level is not a predictive factor for occurrence of postoperative pulmonary complication. Age, smoking, total protein, serum albumin, upper abdomen incision were found to associated with increased risk of PPCs. 

scholarly journals Effect of Additional Threshold Inspiratory Muscle Training Preoperative on Pulmonary Complication Post Heart Valve Replacement Surgery

2020 ◽  
Vol 9 (1) ◽  
pp. 19-28
Author(s):  
Erna Setiawati ◽  
Ronni Untung Handayanto ◽  
Sri Wahyudati
Keyword(s):  
Valve Replacement ◽  
Pulmonary Complication ◽  
Intervention Group ◽  
Inspiratory Muscle ◽  
Inspiratory Muscle Training ◽  
Control Group ◽  
Postoperative Pulmonary Complication ◽  
Muscle Training ◽  
Replacement Surgery ◽  
Valve Replacement Surgery

ABSTRACT Introduction: Cardiac surgery has been improved patient’s outcome with cardiac valve anomaly. There was 111 cardiac valve replacement surgery performed in Kariadi General Hospital Semarang in 2018.Postoperative pulmonary complication (PPC) is the most common complication in this procedure compared to cardiac complication which are thought caused by the disruption of normal respiratory function as a result from surgical and anesthetic procedure. Additional preoperative threshold inspiratory muscle training (Threshold IMT) has been considered as an ef fective intervention to reduce PPC. Methods: This is a quasi experimental study with main reason to know the role of Threshold IMT on PPC incidences. Subjects in the intervention group were given routine conventional rehabilitationexercises according to Clinical Practice Guide (PPK) with additional of Threshold IMT, which applied based on research protocols, while control group did convention al rehabilitation exercises only. Results: 18 subjects were divided into intervention group (n=9), and control group (n=9), PPC incidences (Intervention group n=2, control group n=7) were analyzed statistically using Chi-squared test andshowed significant differences (Fisher exact test p=0.02 with α=0.05). Conclusion: Additional of Threshold IMT preoperative may reduce the incidence of PPC on heart valve replacement surgery.Keywords: Postoperative pulmonary complication (PPC), Threshold inspiratory muscle training (Threshold IMT)

scholarly journals Long-term impact of developing a postoperative pulmonary complication after lung surgery

Thorax ◽  
2016 ◽  
Vol 71 (2) ◽  
pp. 171-176 ◽  
Author(s):  
Sebastian T Lugg ◽  
Paula J Agostini ◽  
Theofano Tikka ◽  
Amy Kerr ◽  
Kerry Adams ◽  
...  
Keyword(s):  
Pulmonary Complication ◽  
Lung Surgery ◽  
Postoperative Pulmonary Complication ◽  
Long Term Impact

scholarly journals Efficacy of Oscillation and Lung Expansion in Reducing Postoperative Pulmonary Complication

2019 ◽  
Vol 229 (5) ◽  
pp. 458-466.e1 ◽  
Author(s):  
Toan T. Huynh ◽  
Timothy N. Liesching ◽  
Maurizio Cereda ◽  
Yuxiu Lei ◽  
Michael J. Frazer ◽  
...  
Keyword(s):  
Pulmonary Complication ◽  
Postoperative Pulmonary Complication ◽  
Lung Expansion

Predictors of Postoperative Pulmonary Complication After Total Hip Replacement in Elderly

CHEST Journal ◽  
2014 ◽  
Vol 146 (4) ◽  
pp. 501A
Author(s):  
Jung Hyun Chang ◽  
Seok Jeong Lee ◽  
Yon Ju Ryu ◽  
Jin Hwa Lee
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Pulmonary Complication ◽  
Postoperative Pulmonary Complication ◽  
Total Hip

scholarly journals Elective Cancer Surgery in COVID-19–Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study

2021 ◽  
Vol 39 (1) ◽  
pp. 66-78 ◽  
Author(s):  
James C. Glasbey ◽  
Dmitri Nepogodiev ◽  
Joana F.F. Simoes ◽  
Omar Omar ◽  
Elizabeth Li ◽  
...  
Keyword(s):  
Cohort Study ◽  
Pulmonary Complication ◽  
Elective Surgery ◽  
Cancer Surgery ◽  
Sensitivity Analyses ◽  
Solid Cancer ◽  
Postoperative Pulmonary Complication ◽  
Complication Rates ◽  
Care Providers ◽  
International Multicenter

PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks.

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