Respiratory insufficiency after abdominal surgery
| Autor: | R. Tarala, Jane L. Hall, John C. Hall |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine Chronic bronchitis medicine.medical_specialty Peritonitis Atelectasis Postoperative Complications Risk Factors medicine Humans Prospective Studies Bronchitis Prospective cohort study Digestive System Surgical Procedures Aged business.industry Perioperative Middle Aged medicine.disease Surgery Intestinal Diseases Logistic Models Respiratory failure Female Respiratory Insufficiency business Abdominal surgery |
| Zdroj: | Respirology. 1:133-138 |
| ISSN: | 1440-1843 1323-7799 |
| DOI: | 10.1111/j.1440-1843.1996.tb00022.x |
| Popis: | The objective of this study was to define the relationship between respiratory insufficiency (RI) and various putative risk factors for patients undergoing abdominal surgery. A review of 1332 adults undergoing abdominal surgery was undertaken. Information was collected in a unbiased, prospective and uniform manner with regard to baseline characteristics, perioperative events and adverse outcomes after surgery. Respiratory Insufficiency was defined as either: a PO260 mm Hg, the performance of a tracheotomy, or endotracheal intubation for more than 24 h. The incidence of RI was 3% (40/1332). A logistic regression analysis only identified an American Society of Anesthesia (ASA) classification2 (P0.001) and the presence of chronic bronchitis (P (P0.05) as significant risk factors. In addition, 33% (8/24) of the patients who developed postoperative intraperitoneal sepsis and 30% (14/47) of the patients who underwent a reoperation developed RI. It was concluded that patients with a significant systemic disease (ASA2), as well as patients with chronic bronchitis, should be the recipients of intense efforts to prevent pulmonary complications after abdominal surgery. |
| Databáze: | OpenAIRE |
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