Articles: postoperative-complications.
-
Anesthesia and analgesia · Feb 1981
Randomized Controlled Trial Comparative Study Clinical TrialEarly extubation versus prophylactic ventilation in the high risk patient: a comparison of postoperative management in the prevention of respiratory complications.
To evaluate whether prophylactic ventilation during the early postoperative period diminishes pulmonary complications, 35 high risk, elderly patients undergoing major, elective abdominal aortic reconstruction were prospectively randomized into either an early extubation group or a prophylactic ventilation group. The 17 patients assigned to the prophylactic ventilation group received mechanical ventilation by assist/control mode until 8 a.m. of the first postoperative day. The 17 patients assigned to the early extubation group were extubated after the operation as soon as they could maintain a pH of 7.35, with a spontaneous respiratory rate of less than 30. ⋯ Intrapulmonary shunt and oxygen delivery were not significantly different between the groups at any time during the study period. There was no mortality or significant morbidity in either group. These findings suggest that in high risk surgical patients, prophylactic ventilation, per se, may not diminish respiratory complications or improve gas exchange.
-
Biography Historical Article
Pulmonary complications of tonsillectomy as originally described by Samuel J. Crowe, M.D.
The incidence of pulmonary complications of tonsillectomy is very low today in comparison to the early part of the 20th Century. Much of the credit belongs to Samuel Crowe and his colleagues who demonstrated that pulmonary complications could be prevented by the use of improved instrumentation and techniques which were based upon sound scientific principles. ⋯ Those that are available show incidence figures similar to those of Dr. Crowe.
-
Z Erkr Atmungsorgane · Jan 1981
Case Reports[Prophylactic and therapeutic intermittent positive pressure breathing with combined therapeutic aerosols (IPPB/I)--functional and morphological effects. II. Therapeutic IPPB/I in ventilation disturbances of the lung (author's transl)].
The present paper describes the therapeutic use of IPPB/I in postoperative pulmonary complications with ventilation disturbances of the lung. The beneficial effects of IPPB/I are shown in chest X-rays. The suppositions for performing IPPB/I, concerning equipment, staff and organization, are explained.
-
Intensive care medicine · Jan 1981
Randomized Controlled Trial Clinical TrialCan postoperative continuous positive airway pressure (CPAP) prevent pulmonary complications after abdominal surgery?
Twenty-four patients underwent elective cholecystectomy. They were randomized into two groups, one consisting of 13 patients having CPAP* by face-mask for 4 h after surgery and the other, consisting of 11 patients serving as control. The patients were all given intravenous anesthesia and were manually ventilated during anesthesia without using PEEP. ⋯ The study showed that both groups had a reduction in VC and PaO2 and a high percentage of them developed chest X-ray changes. In none of the variables mentioned was there any significant difference between the groups after surgery. Hypoxemia after abdominal surgery can thus not be prevented by only using CPAP for 4 h postoperatively.