+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

The patient with respiratory problems

The patient with respiratory problems

Der Chirurg; Zeitschrift für Alle Gebiete der Operativen Medizen 68(7): 662-669

Despite improvements in operative and anesthesiological techniques, respiratory problems in surgical patients have been minimized but not eliminated. In addition to risks which are typical for the individual patient, the perioperative respiratory morbidity is affected by anesthesiological manipulations as well as the operation and the nature of the operation (elective versus emergency). In this paper, after describing anesthesia-associated disturbances of the respiratory situation together with worsening due to the disease in patients with COLD, techniques and methods for therapy, prophylaxis, and prognostic assessment are delineated. Two examples are given for patients with respiratory problems (abdomino-thoracic esophageal resection as a example of local trauma in patients with numerous preoperative risk factors and acute necrotizing pancreatitis to describe the sequelae of a toxic process). The essence of our discussion is that, prognostically, preoperative diagnosis is of reduced value. Only a synopsis of clinical findings together with spirometry and blood gas analysis appears to be relevant. Early mobilization in conjunction with excellent postoperative pain therapy is of utmost importance, which is equivalent to the almost routine placement of a patient controllable epidural analgesia technique. These concepts have shown in the two patient groups described that respiratory morbidity may be reduced significantly. Cooperation between surgeons and anesthesiologists, which is characterized by complete and mutually high competence on both sides, is essential for successfully managing patients at increased respiratory risk.

Please choose payment method:

(PDF emailed within 1 workday: $29.90)

Accession: 047696201

Download citation: RISBibTeXText

PMID: 9340229

Related references

Respiratory problems of the seriously injured patient. Injury 5(1): 67-78, 1973

Hyperphosphatemia in a Patient with Respiratory Problems. Laboratory Medicine 43(6): 291-293, 2012

Managing the patient with severe respiratory problems. Journal of the California Dental Association 28(8): 585-9 591-3 595-8, 2000

Respiratory problems in the pediatric oncology patient. Journal of the Association of Pediatric Oncology Nurses 1(4): 13, 1984

Respiratory problems in the acutely burned patient. Anesthesia and Analgesia 49(5): 714-715, 1970

Alleviating respiratory problems in a muscular dystrophy patient. Journal of Prosthetic Dentistry 20(6): 565-568, 1968

Respiratory problems in a previously healthy patient. What's wrong here?. Nursinglife 3(5): 41, 1983

Recognizing and treating respiratory problems in the surgical patient. Aorn Journal 17(5): 80-87, 1973

Problems arising in the supervision of patients under prolonged respiratory assistance. II. The non-respiratory problems. (Nursing care, motor recuperation, metabolic, endocrine, cardiovascular disorders, etc.). Journal de Medecine de Lyon 42: 1417-1431, 1961

Performance evaluation of APACHE II score for an Indian patient with respiratory problems. Indian Journal of Medical Research 119(6): 273-282, 2004

Some problems concerning the effect of humidity on the pediatric patient with acute respiratory disease. Ceskoslovenska Pediatrie 22(9): 827-836, 1967

The development of the concepts of nonspecific diseases of the respiratory organs and patient rehabilitation problems. Vrachebnoe Delo 1991(4): 9, 1991

A 22-year-old male patient with common variable immunodeficiency and increasing respiratory problems. Wiener Klinische Wochenschrift 99(9): 317-323, 1987

Nursing of a patient with emotional problems due to extended hospitalization--problems of a patient with chronic kidney failure and his family. Kangogaku Zasshi 37(3): 306-310, 1973

Sedation for out-patient dental procedures in a child with recent upper respiratory inflammatory problems: Usefulness of high-flow nasal cannula. Journal of Dental Sciences 13(3): 283-284, 2018