Review Article·Clinical Anesthesia
Research progress on the perioperative strategy of prevention and treatment of postoperative pulmonary complications
Xia Ran, Tong Xingyu, Zhang Chengmi, Li Weiwei, Shi Xueyin
Published 2020-04-15
Cite as Int J Anesth Resus, 2020, 41(4): 370-376. DOI: 10.3760/cma.j.cn321761-20190401-00011
Abstract
Postoperative pulmonary complication (PPC) has drawn increasing attention due to high incidence and mortality in surgical patients. However, there are many debates its diagnosis and treatment. This review summarized the pathogenesis, diagnosis, predictive risk indicators, and strategy of lung protective ventilation, as well as surgical, anesthesiological, nursing care and other preventative measures that can be taken in the perioperative period. It also introduces the progress on domestic and oversea researches. In the new era when the concept of enhanced recovery after surgery is widely accepted, close multi- disciplinary cooperation is required to cope with PPC and reduce its severity.
Key words:
Lung; Postoperative complications; Perioperative period; Lung protective ventilation
Contributor Information
Xia Ran
Department of Anesthesiology and SICU, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
Tong Xingyu
Department of Anesthesiology and SICU, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
Zhang Chengmi
Department of Anesthesiology and SICU, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
Li Weiwei
Department of Anesthesiology and SICU, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
Shi Xueyin
Department of Anesthesiology and SICU, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
