Perioperative respiratory management in high risk patients

Shuji Okahara, Kazuyoshi Shimizu, Naohiro Shioji, Hiroshi Morimatsu

Research output: Contribution to journalArticle

Abstract

Mechanical ventilation during surgery was thought to be easy, because it is only of short duration, and it is used for paralyzed, healthy lungs. Recently, however, it is reported that high risk patients are increasing in number and the actual incidence of postoperative pulmonary complications (PPC) is as high as 20-30%. Nowadays, we should pay more attentions to perioperative respiratory care especially in high risk patients. In preoperative periods, several risk calculation systems has been already reported, but their validation and routine use are still limited We really have to pay more attention in predicting high risk patients for PPC. During general anesthesia, lung protective ventilation could be applied especially in high risk patients, and it could reduce PPC. After surgery, high flow nasal cannula can be used to prevent re-intubation, but it is not known whether this approach could reduce PPC. Of course, more evidence is needed, but we suggest that anesthesiologists should pay more attention not only to maintenance of anesthesia during surgery, but also to prevention of PPC by perioperative respiratory care.

Original languageEnglish
Pages (from-to)511-517
Number of pages7
JournalJapanese Journal of Anesthesiology
Volume67
Issue number5
Publication statusPublished - May 1 2018

Fingerprint

Lung
Perioperative Care
Preoperative Period
Artificial Respiration
Intubation
General Anesthesia
Ventilation
Anesthesia
Maintenance
Incidence

Keywords

  • High flow nasal cannula
  • Lung protective ventilation
  • Postoperative pulmonary complications

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Perioperative respiratory management in high risk patients. / Okahara, Shuji; Shimizu, Kazuyoshi; Shioji, Naohiro; Morimatsu, Hiroshi.

In: Japanese Journal of Anesthesiology, Vol. 67, No. 5, 01.05.2018, p. 511-517.

Research output: Contribution to journalArticle

@article{d2890ed7aab541c3a38236f677595229,
title = "Perioperative respiratory management in high risk patients",
abstract = "Mechanical ventilation during surgery was thought to be easy, because it is only of short duration, and it is used for paralyzed, healthy lungs. Recently, however, it is reported that high risk patients are increasing in number and the actual incidence of postoperative pulmonary complications (PPC) is as high as 20-30{\%}. Nowadays, we should pay more attentions to perioperative respiratory care especially in high risk patients. In preoperative periods, several risk calculation systems has been already reported, but their validation and routine use are still limited We really have to pay more attention in predicting high risk patients for PPC. During general anesthesia, lung protective ventilation could be applied especially in high risk patients, and it could reduce PPC. After surgery, high flow nasal cannula can be used to prevent re-intubation, but it is not known whether this approach could reduce PPC. Of course, more evidence is needed, but we suggest that anesthesiologists should pay more attention not only to maintenance of anesthesia during surgery, but also to prevention of PPC by perioperative respiratory care.",
keywords = "High flow nasal cannula, Lung protective ventilation, Postoperative pulmonary complications",
author = "Shuji Okahara and Kazuyoshi Shimizu and Naohiro Shioji and Hiroshi Morimatsu",
year = "2018",
month = "5",
day = "1",
language = "English",
volume = "67",
pages = "511--517",
journal = "Japanese Journal of Anesthesiology",
issn = "0021-4892",
publisher = "Kokuseido Publishing Co. Ltd",
number = "5",

}

TY - JOUR

T1 - Perioperative respiratory management in high risk patients

AU - Okahara, Shuji

AU - Shimizu, Kazuyoshi

AU - Shioji, Naohiro

AU - Morimatsu, Hiroshi

PY - 2018/5/1

Y1 - 2018/5/1

N2 - Mechanical ventilation during surgery was thought to be easy, because it is only of short duration, and it is used for paralyzed, healthy lungs. Recently, however, it is reported that high risk patients are increasing in number and the actual incidence of postoperative pulmonary complications (PPC) is as high as 20-30%. Nowadays, we should pay more attentions to perioperative respiratory care especially in high risk patients. In preoperative periods, several risk calculation systems has been already reported, but their validation and routine use are still limited We really have to pay more attention in predicting high risk patients for PPC. During general anesthesia, lung protective ventilation could be applied especially in high risk patients, and it could reduce PPC. After surgery, high flow nasal cannula can be used to prevent re-intubation, but it is not known whether this approach could reduce PPC. Of course, more evidence is needed, but we suggest that anesthesiologists should pay more attention not only to maintenance of anesthesia during surgery, but also to prevention of PPC by perioperative respiratory care.

AB - Mechanical ventilation during surgery was thought to be easy, because it is only of short duration, and it is used for paralyzed, healthy lungs. Recently, however, it is reported that high risk patients are increasing in number and the actual incidence of postoperative pulmonary complications (PPC) is as high as 20-30%. Nowadays, we should pay more attentions to perioperative respiratory care especially in high risk patients. In preoperative periods, several risk calculation systems has been already reported, but their validation and routine use are still limited We really have to pay more attention in predicting high risk patients for PPC. During general anesthesia, lung protective ventilation could be applied especially in high risk patients, and it could reduce PPC. After surgery, high flow nasal cannula can be used to prevent re-intubation, but it is not known whether this approach could reduce PPC. Of course, more evidence is needed, but we suggest that anesthesiologists should pay more attention not only to maintenance of anesthesia during surgery, but also to prevention of PPC by perioperative respiratory care.

KW - High flow nasal cannula

KW - Lung protective ventilation

KW - Postoperative pulmonary complications

UR - http://www.scopus.com/inward/record.url?scp=85051027777&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85051027777&partnerID=8YFLogxK

M3 - Article

VL - 67

SP - 511

EP - 517

JO - Japanese Journal of Anesthesiology

JF - Japanese Journal of Anesthesiology

SN - 0021-4892

IS - 5

ER -