Preoperative pulmonary evaluation

Article Abstract:

All surgical patients should be carefully examined before surgery for risk factors for postoperative lung complications. These risk factors include smoking, poor exercise capacity, overall health status, chronic obstructive pulmonary disease (COPD), and asthma. Other risk factors include surgery longer than three hours, receiving general anesthesia, and use of the muscle relaxant pancuronium during the operation. Surgery on the upper abdomen or chest is associated with a greater risk of lung complications. Preoperative lung function tests may be beneficial in some patients. Deep-breathing exercises after surgery may be effective in preventing lung complications.

Health aspects, Risk factors, Surgery, Preoperative care, Postoperative complications, Lung diseases

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Efficacy and safety of corticosteroids for persistent acute respiratory distress syndrome

Article Abstract:

A multicenter, randomized controlled trial of corticosteroids was conducted for patients suffering with acute respiratory distress syndrome (ARDS). It was concluded that methylprednisolone, a corticosteroid can not be routinely used for persistent ARDS despite the improvement in cardiopulmonary physiology.

New England States, Drug therapy, Corticosteroids, New England, Methylprednisolone, Respiratory distress syndrome, Corticosteroid drugs

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