Preoperative considerations for patients with chronic obstructive pulmonary disease |
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Authors: | Mandra Ana Simić Dusica Stevanović Vesna Ugrinović Djordje Skodrić Vesna Kalezić Nevena |
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Affiliation: | Institute for Mother and Child Health Care Dr. Vukan Cupi?, Belgrade, Serbia. |
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Abstract: | Chronic obstructive pulmonary disease is a risk factor for development of intraoperative and postoperative pulmonary complications. Regarding the type and the extent of surgical procedure, patients with COPD are at risk of aggravation of pulmonary function which leads to complicated perioperative course. In order to reduce perioperative complications, preoperative evaluation and preoperative patient preparation are of great importance. Goals of preoperative preparation and anesthesia in patients with COPD are maintaining ventilation-perfusion ratio, preventing development of hipoxemia, intraoperative brochospasm, pneumothorax and disturbances of cardivascular system. |
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