Articles: postoperative-complications.
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In a series of 152 patients aged 65 years or older who underwent abdominal operations between January 1 and December 31, 1971, the total mortality was 17 percent. Pulmonary pathologic conditions were responsible for the majority of the deaths. Use of IPPB did not significantly influence the postoperative course. This study suggests that meticulous preoperative preparation of patients; deliberate, clean, and efficient surgical techniques; and intensive postoperative care are of utmost importance in surgical treatment of the elderly.
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Clinical Trial Controlled Clinical Trial
Editorial: Low-dose heparin prophylaxis for postoperative venous thromboembolism.
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Thoraxchir Vask Chir · Aug 1975
[Acute left heart failure following repair of atrial septal defects. Its treatment by reopening].
Among 716 patients operated on for an ASD, 15 of them, following closure of the defect, developed acute left heart failure requiring partial re-opening. The most prominent anatomical finding in these cases was hypoplasia of the left ventricle. ⋯ Therefore, a marked difference of the stroke work of the left and right ventricle, respectively, appeared to be the essential underlying hemodynamic mechanism. The prognosis has been found to depend mainly on prompt surgical intervention; so in all poor-risk cases continued monitoring of left atrial pressure is indicated for early detection of impending left heart failure.--The high incidence of left heart failure as cause of death after repair of an ASD indicates the importance of this complication.
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The authors present 29 cases of post-operative respiratory complications in abdominal surgery in subjects without any past history of respiratory disorders. They stress the diagnostic value of these cases of acute respiratory failure shown in a third of the cases of surgical complications.
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Anesthesia and analgesia · Jul 1975
Comparative StudyEffects of intraoperative PEEP on postoperative arterial oxygenation.
Previous studies have suggested that early postoperative hypozemia may be due to a reduction of functional residual capacity (FRC) during anesthesia and surgery. Positive end-expiratory pressure (PEEP) has been recommended as a means of maintaining FRC and improving arterial oxygenation. ⋯ Patients receiving PEEP maintained the highest mean Pao2 intraoperatively. However, the beneficial effect of intraoperative PEEP was not sustained in the recovery room, where all patients experienced the same degree of arterial hypoxemia.