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Respiratory criteria of fitness for surgery and anaesthesia
Author(s) -
NUNN J. F.,
MILLEDGE J. S.,
CHEN D.,
DORE C.
Publication year - 1988
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1988.tb06683.x
Subject(s) - medicine , anesthesia , ventilation (architecture) , surgery , general anaesthesia , airway , elective surgery , retrospective cohort study , vital capacity , lung , lung function , mechanical engineering , diffusing capacity , engineering
Summary A retrospective analysis has been undertaken of 53 operations in 42 patients with severe chronic obstructive airway disease. All patients had a forced expiratory volume in 1 second between 0.3 and 1 litre, but the outcome of surgery was successful after their first operations, all of which were elective; 38 of the 42 had uneventful anaesthesia and surgery together with a normal postoperative period, while four had artificial ventilation of the lungs. The best predictors of the use of postoperative ventilation were the arterial Po 2 and whether the patient was dyspnoeic at rest.