Respiratory criteria of fitness for surgery and anaesthesia

A retrospective analysis has been undertaken of 53 operations in 42 patients with severe chronic obstructive airway disease. All patients had a forced expiratory volume in 1 second between 0.3 and 1 litre, but the outcome of surgery was successful after their first operations, all of which were elec...

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Bibliographic Details
Published inAnaesthesia Vol. 43; no. 7; p. 543
Main Authors Nunn, J F, Milledge, J S, Chen, D, Dore, C
Format Journal Article
LanguageEnglish
Published England 01.07.1988
Subjects
Aged
Aged, 80 and over
Anesthesia, Conduction
Anesthesia, General
Carbon Dioxide - blood
Dyspnea - physiopathology
Forced Expiratory Volume
Humans
Intermittent Positive-Pressure Ventilation
Lung Diseases, Obstructive - physiopathology
Male
Middle Aged
Oxygen - blood
Retrospective Studies
Surgical Procedures, Operative
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Summary:A retrospective analysis has been undertaken of 53 operations in 42 patients with severe chronic obstructive airway disease. All patients had a forced expiratory volume in 1 second between 0.3 and 1 litre, but the outcome of surgery was successful after their first operations, all of which were elective; 38 of the 42 had uneventful anaesthesia and surgery together with a normal postoperative period, while four had artificial ventilation of the lungs. The best predictors of the use of postoperative ventilation were the arterial PO2 and whether the patient was dyspnoeic at rest.
ISSN:0003-2409
DOI:10.1111/j.1365-2044.1988.tb06683.x