Cough Impairment and Risk of Postoperative Pulmonary Complications After Open Upper Abdominal Surgery

作者: D. B. B. Colucci , J. F. Fiore , D. M. Paisani , T. T. Risso , M. Colucci

DOI: 10.4187/RESPCARE.03600

关键词: PathophysiologyProspective cohort studyLungPostoperative painAnesthesiaUpper abdominal surgeryPopulationFEV1/FVC ratioSurgeryMedicine

摘要: BACKGROUND: Cough impairment is often described as part of the pathophysiological basis postoperative pulmonary complications (PPCs). However, there have been few studies examining cough effectiveness and its relationship with PPCs following open upper abdominal surgery. The goal this study was to estimate (1) changes in efficacy after surgery through assessment peak flow (2) extent which associated pain, FVC, risk PPCs. METHODS: This prospective cohort assessed 101 subjects (45% male, 56 ± 16 y old) admitted for elective Measurements FVC were performed on day before repeated days 1, 3, 5. daily by a pulmonologist blinded measurement results. RESULTS: Peak dropped 54% preoperative value 1 gradually increased 3 (65%) 5 (72%) (P CONCLUSIONS: impaired Postoperative restrictive lung dysfunction seems be impairment. There no significant association between PPCs; however, might result clinically important consequences high-risk population.

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