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Perioperative pulmonary complications: can they be predicted and minimized?

Authors:

Yamuna Rajapakse ,

University of Colombo, LK
About Yamuna
Department of Anatomy, Faculty of Medicine
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Lakmali Amarasiri

University of Colombo, LK
About Lakmali
Department of Physiology, Faculty of Medicine
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Abstract

Patients undergo surgery for various reasons. A main concern for the surgeon and anaesthetist is the occurrence of pulmonary complications during and after surgery. Perioperative pulmonary complications are more frequent in patients with compromised pulmonary function. If there is a possibility to predict such complications, necessary precautions could be taken, and the patients could be optimized to ensure that such complications are minimized. A better understanding of the physiological changes and risk factors predisposing to perioperative pulmonary complications is essential to develop strategies for reducing these complications. The resulting reduction in morbidity and mortality would lead to improvement of quality of life and reduced of costs.

 

This article aims to make the surgeon aware of the possible surgery and anaesthesia related physiological derangements, and human and environmental factors in the operating theatre that can contribute to perioperative respiratory complications in patients undergoing surgery that is not directly related to the lungs. It stresses on the importance of actively looking for unseen and underlying physiological, pathological, patient and drug related factors to minimize perioperative pulmonary complications, highlighting important considerations in patients with underlying pulmonary disease.
How to Cite: Rajapakse Y, Amarasiri L. Perioperative pulmonary complications: can they be predicted and minimized?. Sri Lanka Journal of Surgery. 2021;39(1):38–47. DOI: http://doi.org/10.4038/sljs.v39i1.8819
Published on 31 Mar 2021.
Peer Reviewed

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