TY - CHAP M1 - Book, Section TI - The Patient With Pulmonary Disease A1 - Cropsey, Christopher L. A1 - McEvoy, Matthew D. A2 - Longnecker, David E. A2 - Mackey, Sean C. A2 - Newman, Mark F. A2 - Sandberg, Warren S. A2 - Zapol, Warren M. Y1 - 2017 N1 - T2 - Anesthesiology, 3e AB - KEY POINTSRoutine pulmonary function tests are not usually necessary for patients with chronic obstructive pulmonary disease. Elective surgery may need to be postponed for acute exacerbations.In patients with asthma, pretreatment with bronchodilators can mitigate the risks of bronchospasm in the perioperative period.Obstructive sleep apnea is associated with important systemic comorbidities, and patients should be encouraged to use continuous positive airway pressure (CPAP) whenever feasible.Smoking cessation should be attempted in any perioperative patient, even in the immediate preoperative period.Intraoperative mechanical ventilation should optimize both pressures and volumes to minimize the risk for additional lung injury in patients with preexisting pulmonary disease.Optimal postoperative analgesia, including thoracic epidural catheterization, may improve adjunct pulmonary markers.Pulmonary recruitment with early ambulation and incentive spirometry should be encouraged in the postoperative period. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/09 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1144112104 ER -