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- Title
Pre-operative optimisation of lung function.
- Authors
Azhar, Naheed
- Abstract
The anaesthetic management of patients with pre-existing pulmonary disease is a challenging task. It is associated with increased morbidity in the form of post-operative pulmonary complications. Pre-operative optimisation of lung function helps in reducing these complications. Patients are advised to stop smoking for a period of 4-6 weeks. This reduces airway reactivity, improves mucociliary function and decreases carboxy-haemoglobin. The widely used incentive spirometry may be useful only when combined with other respiratory muscle exercises. Volume-based inspiratory devices have the best results. Pharmacotherapy of asthma and chronic obstructive pulmonary disease must be optimised before considering the patient for elective surgery. Beta 2 agonists, inhaled corticosteroids and systemic corticosteroids, are the main drugs used for this and several drugs play an adjunctive role in medical therapy. A graded approach has been suggested to manage these patients for elective surgery with an aim to achieve optimal pulmonary function.
- Subjects
LUNG analysis; RESPIRATORY obstructions; PREOPERATIVE period; ADRENERGIC beta agonists; SPIROMETRY; STEROIDS
- Publication
Indian Journal of Anaesthesia, 2015, Vol 59, Issue 9, p550
- ISSN
0019-5049
- Publication type
Article
- DOI
10.4103/0019-5049.165858