| Autor: |
Sasai T; Department of Anesthesiology, Okayama Red Cross Hospital, Okayama 700-8607., Kawanoue N, Oishi Y, Ishii M, Iwasaki E, Kobayashi H, Oku S, Mikane T, Fukushima T, Tokioka H |
| Jazyk: |
japonština |
| Zdroj: |
Masui. The Japanese journal of anesthesiology [Masui] 2013 Oct; Vol. 62 (10), pp. 1173-8. |
| Abstrakt: |
Preoperative forced expiratory volume in 1 second less than 1 l is a risk factor for anesthesia. We report perioperative management and prognosis of 7 patients with restricted lung function who underwent lung resection under general anesthesia. We assessed the patients preoperatively from the point of view of heart-lung functions such as predicted postoperative forced expiratory volume in 1 second greater than 0.8 l, an ability of walking on the level for more than 5 minutes at his own speed without a rest, presence of hypercapnia, and degree of pulmonary hypertension. One patient was extubated on the first postoperative day because of an asthmatic attack, whereas the remaining 6 patients were extubated in the operating room. Although 1 patient developed postoperative complications of lung air leakage and pneumonia, he recovered with conservative therapy. All patients were discharged without any sequela. We were able to manage high-risk patients with limited lung functions successfully during the perioperative period without serious complications. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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