Abstract
Abstract Surgical candidates with pulmonary disease are at increased risk of postoperative pulmonary complications. This chapter discusses important components of the preoperative evaluation and preparation for patients with pulmonary hypertension, obstructive airway disease, restrictive lung disease, and obstructive sleep apnea. The preoperative evaluation indicates the stability of cardiopulmonary conditions, identifies risk factors that necessitate additional workup, and estimates the perioperative risk for surgery. After preoperative evaluation, including use of pulmonary risk indexes to estimate the risk of postoperative pulmonary complications, patients can then receive appropriate preoperative preparation and optimization. Preoperative optimization strategies such as respiratory and pharmacologic therapies are addressed. Additionally, smoking cessation techniques and the benefits of quitting prior to surgery are discussed. Understanding the preoperative evaluation and preparation for patients with respiratory disease may reduce the risk of postoperative pulmonary complications.
Published Version
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