PMID: 9434329Jun 1, 1996Paper

Respiratory insufficiency after abdominal surgery

Respirology : Official Journal of the Asian Pacific Society of Respirology
J C HallJ C Hall

Abstract

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 PO2 < 60 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) classification > 2 (P < 0.001) and the presence of chronic bronchitis (P (P < 0.05) 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 (ASA > 2), as well as patients with chronic bronchitis, should be the recipients of intense efforts to prevent pulmonary complications after abdominal surgery.

Associated Clinical Trials

References

Jun 25, 1977·British Medical Journal·C Fletcher, R Peto
Apr 1, 1991·Archives of Surgery·J C HallK Christiansen
Jun 1, 1989·The Clinical Journal of Pain·P J HoskinD Chapman
Oct 1, 1987·British Journal of Anaesthesia·B DureuilJ M Desmonts

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Citations

Dec 24, 1997·Journal of the American College of Surgeons·C Platell, J C Hall
Jun 23, 2009·Current Opinion in Critical Care·Gabriela FerreyraVito Marco Ranieri
Feb 25, 2003·American Journal of Respiratory and Critical Care Medicine·Finlay A McAlisterGeorge Tomlinson
Nov 26, 2004·American Journal of Respiratory and Critical Care Medicine·Finlay A McAlisterMichael Jacka
May 7, 2014·Surgical Infections·Mikito InokuchiKenichi Sugihara
Mar 15, 2002·The American Journal of Medicine·Bruce W FisherFinlay A McAlister
May 9, 2003·Clinics in Geriatric Medicine·Gerald W Smetana

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