Abstract
In patients 70 years or older, pulmonary function tests were performed before and after abdominal surgery to correlated the results with the development of postoperative pulmonary complications which developed in 48% of these patients, compared to 15% in the control group. To predict the development of PPC, preoperative analysis of the flow-volume curve is useful and\(4\left( {\dot V_{50} - \dot V_{25} } \right)/forced\) vital capacity is a valuable parameter for the analysis of the flow-volume curve. Postoperatively, pulmonary function was reduced and there was a delay in the restoration of pulmonary function in cases with postoperative pulmonary complications. The administration of appropriate analgesics may be useful to improve postoperative ventilatory disturbances.
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Black, J., Kallor, G.J. and Collis, J.L.: The effect of the surgical approach on respiratory function after esophageal resection, Br. J. Surg. 64: 624–627, 1977.
Comroe, J.H.Jr., Forster, R.E., Dubois, A.B. Briscoe, W.A. and Carlsen, E.: The Lung, Clinical Physiology and Pulmonary Function Tests, pp. 7–26, Year Book Medical Publishers, Chicago, 1962.
Drummond, G.B.: Postoperative hypoxaemia and oxygen therapy, Br. J. Anaesth. 47: 491–499, 1975.
Hansen, G., Drablos, P.A. and Steinert, R.: Pulmonary complications, ventilation and blood gases after upper abdominal surgery, Acta Anaesth. Scand. 21: 211–215, 1977.
Hasegawa, T., Saito, Y., Kimura, K., Myojyo, S. and Hasegawa, S.: Studies on flow-volume curves of patients with pulmonary cancer, Gan no Rinsho (J. Cancer Clin.) 23: 537–540, 1977 (in Japanese).
Hewlett, A.M. and Branthwaite, M.A.: Postoperative pulmonary function, Br. J. Anaesth. 47: 102–107, 1975.
Kaibara, N. and Matsumoto, T.: The evaluation and preoperative preparation of patients with chronic lung disease, Geka Chiryo (Surg. Ther.) 42: 147–151, 1980, (in Japanese).
Knudsen, J.: Duration of hypoxaemia after uncomplicated upper abdominal and thoracoabdominal operations, Anaesthesia, 25: 372–377, 1970.
Lindell, P. and Hedenstierna, G.: Ventilation efficiency after different incisions for cholecystectomy, Acta Chir. Scand. 142: 561–565, 1976.
Okubo, T., Shibata, H., Takahashi, H. and Saito, Y.: A review for the assessment of closing volume, Hai to Shin (Lung and Heart) 22: 38–45, 1975 (English Abst.)
Parfrey, P.S., Harte, P.J., Quinlan, J.P. and Brady, M.P.: Pulmonary function in the early postoperative period, Br. J. Surg. 64: 384–389, 1977.
Schwaber, J.R.: Evaluation of respiratory status in surgical patients, Surg. Clin. North Amer. 50: 637–644, 1970.
Stein, M. and Cassard, E.L.: Preoperative pulmonary evaluation and therapy for surgical patients, J. Amer. Med. Assoc. 211: 787–799, 1970.
Stein, M., Korta, G., Simon, M. and Frank, H.: Pulmonary evaluation of surgical patients, J. Amer. Med. Assoc. 181: 765–770, 1962.
Takishima, T. and Sasaki, H.: Clinical value and limitation of diagnosis by pulmonary function tests, Hai to Shin (Lung and Heart) 18: 212–219, 1971 (English Abst.).
Yamabayashi, H.: Physiological and clinical evaluation of flow-volume curve, Hai to Shin (Lung and Heart) 22: 47–52, 1975 (English Abst.).
Yoshida, T., Ushijima, Y., Inokuchi, K., Hirose, T., Shirakusa, T. and Katayama, N.: Evaluation of the risk of postoperative pulmonary complications, Jpn. J. Surg. 7: 131–138, 1977.
Yoshimura, K. and Yoshitake, T.: Pre- and postoperative management of complicated patients-pulmonary insufficiency, Shujutsu (Operation) 29: 403–408, 1975 (in Japanese).
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Kaibara, N., Iwai, N., Nishimura, O. et al. Pulmonary function before and after abdominal surgery in the aged. The Japanese Journal of Surgery 11, 73–79 (1981). https://doi.org/10.1007/BF02468872
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DOI: https://doi.org/10.1007/BF02468872