Anaesthesia for patient with chronic obstructive pulmonary disease

• Published in: Indian journal of anaesthesia Vol. 59; no. 9; pp. 574 - 583
• Main Authors: Duggappa, Devika Rani, Rao, G Venkateswara, Kannan, Sudheesh
• Format: Journal Article
• Language: English
• Published: India Medknow Publications and Media Pvt. Ltd 01.09.2015; Medknow Publications & Media Pvt. Ltd; Medknow Publications & Media Pvt Ltd; Wolters Kluwer Medknow Publications
• Subjects: Abdomen; Airway management; Anaesthesia; Analgesics; Anesthesia; Chronic obstructive lung disease; Chronic obstructive pulmonary disease; Conflicts of interest; Drug therapy; Health risk assessment; management; Methods; perioperative; Postoperative complications; Prevention; Regional anesthesia; Respiration; Review; Smoking; Surgery; Ventilation; Anaesthesia; perioperative; management; chronic obstructive pulmonary disease
• ISSN: 0019-5049; 0976-2817
• DOI: 10.4103/0019-5049.165859

The chronic obstructive pulmonary disease has become a disease of public health importance. Among the various risk factors, smoking remains the main culprit. In addition to airway obstruction, the presence of intrinsic positive end expiratory pressure, respiratory muscle dysfunction contributes to the symptoms of the patient. Perioperative management of these patients includes identification of modifiable risk factors and their optimisation. Use of regional anaesthesia alone or in combination with general anaesthesia improves pulmonary functions and reduces the incidence of post-operative pulmonary complications.