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

Amir Qaseem*, Vincenza Snow, Nick Fitterman, E. Rodney Hornbake, Valerie A. Lawrence, Gerald W. Smetana, Kevin Weiss, Douglas K. Owens

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

427 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)575-580
Number of pages6
JournalAnnals of internal medicine
Volume144
Issue number8
DOIs
StatePublished - Apr 18 2006

ASJC Scopus subject areas

  • Internal Medicine

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