Postlobectomy Early Complications.

Autor: Ziarnik E; Department of Thoracic Surgery, Vanderbilt University Medical Center, 1313 21st Avenue South, Nashville, TN 37232, USA., Grogan EL; Department of Thoracic Surgery, Tennessee Valley Healthcare System, Nashville Campus, Vanderbilt University Medical Center, 609 Oxford House, 1313 21st Avenue South, Nashville, TN 37232, USA. Electronic address: eric.grogan@vanderbilt.edu.
Jazyk: angličtina
Zdroj: Thoracic surgery clinics [Thorac Surg Clin] 2015 Aug; Vol. 25 (3), pp. 355-64. Date of Electronic Publication: 2015 Jun 12.
DOI: 10.1016/j.thorsurg.2015.04.003
Abstrakt: Immediate postoperative complications are common after lobectomy. The most effective management of postoperative crises is prevention, which starts with preoperative preparation and patient screening. There are many factors that can be controlled and improved by the patient. Equally important is patient selection, which is influenced by pulmonary function tests, cardiopulmonary reserve, and preexisting comorbidities. After the operation, the care team can also greatly improve outcomes with aggressive cardiopulmonary therapies, ambulation, vigilant monitoring, and frequent assessments of the patient. Prevention strategies can minimize risks; however, when they occur, a proactive approach may minimize the long-term sequelae.
(Published by Elsevier Inc.)
Databáze: MEDLINE