Risk assessment for and strategies to reduce perioperative pulmonary complications for patients undergoing noncardiothoracic surgery: a guideline from the American College of Physicians.

Authors

• Amir Qaseem
• Vincenza Snow
• Nick Fitterman
• E Rodney Hornbake
• Valerie A Lawrence
• Gerald W Smetana
• Kevin Weiss
• Douglas K Owens
• Mark Aronson
• Patricia Barry
• Donald E Casey
• J Thomas Cross
• Nick Fitterman
• Katherine D Sherif
• Kevin B Weiss

Publication/Presentation Date

4-18-2006

Abstract

Postoperative pulmonary complications play an important role in the risk for patients undergoing noncardiothoracic surgery. Postoperative pulmonary complications are as prevalent as cardiac complications and contribute similarly to morbidity, mortality, and length of stay. Pulmonary complications may even be more likely than cardiac complications to predict long-term mortality after surgery. The purpose of this guideline is to provide guidance to clinicians on clinical and laboratory predictors of perioperative pulmonary risk before noncardiothoracic surgery. It also evaluates strategies to reduce the perioperative pulmonary risk and focuses on atelectasis, pneumonia, and respiratory failure. The target audience for this guideline is general internists or other clinicians involved in perioperative management of surgical patients. The target patient population is all adult persons undergoing noncardiothoracic surgery.

Volume

144

Issue

8

First Page

575

Last Page

580

ISSN

1539-3704

Published In/Presented At

Qaseem, A., Snow, V., Fitterman, N., Hornbake, E. R., Lawrence, V. A., Smetana, G. W., Weiss, K., Owens, D. K., Aronson, M., Barry, P., Casey, D. E., Jr, Cross, J. T., Jr, Fitterman, N., Sherif, K. D., Weiss, K. B., & Clinical Efficacy Assessment Subcommittee of the American College of Physicians (2006). Risk assessment for and strategies to reduce perioperative pulmonary complications for patients undergoing noncardiothoracic surgery: a guideline from the American College of Physicians. Annals of internal medicine, 144(8), 575–580. https://doi.org/10.7326/0003-4819-144-8-200604180-00008

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

16618955

Department(s)

Administration and Leadership

Document Type

Article