Open AccessAnaesthesia for patient with chronic obstructive pulmonary disease
Author(s) -
Devika Rani Duggappa,
G Venkateswara Rao,
Sudheesh Kannan
Publication year - 2015
Publication title -
indian journal of anaesthesia/indian journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.645
H-Index - 30
eISSN - 0976-2817
pISSN - 0019-5049
DOI - 10.4103/0019-5049.165859
Subject(s) - medicine , perioperative , culprit , general anaesthesia , pulmonary disease , anesthesia , airway obstruction , disease , incidence (geometry) , intensive care medicine , airway , physics , myocardial infarction , optics
The chronic obstructive pulmonary disease has become a disease of public health importance. Among the various risk factors, smoking remains the main culprit. In addition to airway obstruction, the presence of intrinsic positive end expiratory pressure, respiratory muscle dysfunction contributes to the symptoms of the patient. Perioperative management of these patients includes identification of modifiable risk factors and their optimisation. Use of regional anaesthesia alone or in combination with general anaesthesia improves pulmonary functions and reduces the incidence of post-operative pulmonary complications.