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.
PY  - 2017
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  - 2024/04/20
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=1144112104
ER  -