Respiratory maneuvers to prevent postoperative pulmonary complications. A critical review.
Respiratory maneuvers to prevent postoperative pulmonary complications. A critical review.
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呼吸操作可预防术后肺部并发症。
DOI：
10.1001/jama.1973.03220210035008
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发表时间：
1973
期刊：
影响因子：
--
通讯作者：
T. R. Geraghty
中科院分区：
文献类型：
--
作者：
R. Bartlett;A. Gazzaniga;T. R. Geraghty
20%-40%的患者在腹部或胸部手术后发生严重的肺部并发症，1- 3使肺部并发症成为术后发病率和死亡率的最大单一原因。4外科医生和吸入治疗师希望预防常见的肺不张、呼吸急促、缺氧、发热、肺炎导致了各种各样的预防肺部并发症的实践。预防性呼吸操作是术后护理的许多方面之一，旨在最大限度地减少肺部并发症。不同的中心使用各种呼吸操作和鼓励这些操作的设备。本报告的目的是回顾术后生理学的改变，描述必须进行哪些呼吸操作来逆转病理生理学，并检查特定操作和器械的报告。术后患者的肺生理学肺容量、力学和气体交换的重大变化
Significant pulmonary complications occur in 20% to 40% of patients following abdominal or thoracic operations,1-3making pulmonary complications the single largest cause of morbidity and mortality in the postoperative period.4The desire of the surgeon and the inhalation therapist to prevent the familiar progression of atelectasis, tachypnea, hypoxia, fever, and pneumonitis has led to a wide variety of practices to prevent pulmonary complications. The prophylactic respiratory maneuver is one of many aspects of postoperative care that are intended to minimize pulmonary complications. Various respiratory maneuvers and devices to encourage those maneuvers are used in different centers. The purpose of this report is to review the altered physiology of the postoperative period, describe what respiratory maneuvers must be carried out to reverse that pathophysiology, and to examine the reports of specific maneuvers and devices. Pulmonary Physiology in the Postoperative Patient Major changes in lung volume, mechanics, and gas exchange