Nurse-led preoperative screening and targeted optimization of pulmonary dysfunction in patients undergoing cardiac surgery |
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Authors: | Sivalingam Sivakumar Rathinam Sridhar Ajis Adam Satur Christopher M R |
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Affiliation: | Department of Cardiothoracic Surgery, University Hospital of North Staffordshire, Stoke-on-Trent, United Kingdom |
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Abstract: | Postoperative pulmonary dysfunction prolonging intensive care treatment after cardiac surgery most commonly occurs in patients with a background of pre-existing pulmonary dysfunction. However, many patients have occult dysfunction and present primarily after surgery. We describe and discuss the results of a respiratory optimization program utilizing a peak expiratory flow rate below 400 L/min as a screening test to identify patients in a nurse-directed preoperative clinic. |
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Keywords: | 18 |
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